Associate Medical Authorization Specialist

We are currently seeking an Associate Medical Authorization Specialist for our client in the Memphis area. The ideal candidate will support the reimbursement strategy of the company by aggressively pursuing authorization and reimbursement while establishing a resource of expertise to the payers.

Supports sales goals by securing authorizations and delivering the highest level of reimbursement.

Responsibilities:

• Pre-screens all orders to ensure documentation is complete and warrants medical necessity.
• Obtains authorization of reimbursement for company's products and services.
• Negotiates favorable pricing and payment with payers and patients, where there is no current contract in place; expedites and increases shipments.
• Prepares and submits appeals on behalf of patients.
• Identifies referrals for in-services and preferred provider contracting
• Educates and informs sales personnel regarding reimbursement issues in their region
• Complies with all health, safety and environmental policies, procedures and job hazard analyses applicable
• Completes all required HSE training
• Escalates unresolved issues to Supervisor, Reimbursement Services
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Qualifications:

• High school diploma or G.E.D/Associates degree in business related field preferred
• Minimum 6 months medical authorization experience in a medical claims environment involving negotiation, problem resolution,  and order entry by using an on-line computer terminal
• Knowledge of government program regulations, Medicare and any other third party players
• Must possess good written and oral communication skills with the ability to interface with customers and company personnel at all levels
• Must display professional persistence, manage detailed information, maintain high level of organization, display strong proficiency in multi-tasking