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Authorization and Insurance Specialist - Springfield, OR

Quick Facts
Company Name:Oregon Urology Institute
Location:Springfield, OR
Employment Type:Full Time
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Oregon Urology Institute has a Full-time, Authorization and Insurance Specialist opportunity available.

Oregon Urology Institute is one of the largest, most advanced urological centers in the Northwest. Oregon Urology Institute provides patients with some of the region's finest medical experts covering every major urological specialty using proven and leading-edge technologies such as robotic surgery, immunotherapy, and radiation therapy.

This role will obtain all required authorizations prior to services being rendered and coordinate billing for Radiation Oncology services. Verification of insurance coverage and benefits prior to service being rendered and request prepayment if applicable.

Essential Job Functions:

  • Verify insurance coverage and obtain service specific benefits for all scheduled patients.
  • Obtain Prior Authorization for Consultations, Radiation treatment, Injections, and Imaging
  • Perform benefit inquiries to determine cost estimates.
  • Counsel patients on expected out of pocket expense, prepayment requirements, payment plans and account balances.
  • Evaluate medical record documentation and coding to enter charges and submit claims.

Position requirements:

  • Complies with legal standards and guidelines.
  • Maintain strict confidentiality.
  • Ability to review, understand and extract relevant medical information from EMR.
  • Knowledge of CPT and ICD10

Preferred qualifications:

  • Experience working in an EMR/PM (Athena preferred)
  • Experience in a related Medical Office role

This is a Full-time position. Authorization and Billing Specialist wage range: $17.27 to $25.96 per hour, DOE. Oregon Urology Institute offers employees fully employer paid life, health, dental and vision, 6 paid holidays, generous PTO, voluntary benefits, and an outstanding retirement. For full details, click: and please apply!