Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties are ranked among the nation's best by U.S. News & World Report. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we're making it easier for today's busy families to find the high-quality care they need. In 2020, our health care system provided more than 1.1 million patient encounters. We also operate neonatal and pediatric units in the hospitals of our regional health care partners. Every year, our Children's Home Care Group nurses provide thousands of in-home visits, and our School Health nurses manage clinic visits for students from preschool through high school. With our Quick Care Online virtual visits and Akron Children's Anywhere app, we're here for families whenever and wherever they need us. Learn more at akronchildrens.org.
To treat every child as we would our own
To treat others as they would like to be treated
To turn no child away for any reason
Prior to the start date, full COVID-19 vaccination is required for employment. Full vaccination is defined as 14 days after the last received vaccination. Boosters are excluded from this requirement.
We are seeking people who are committed to fostering a diverse environment in which patients, family and staff from a variety of backgrounds, cultures, and personal experiences are welcomed, included and can thrive.
Full - time 80 hours per week  1st Shift 8:30am - 5:00pm  On - site with potential to be remote
The Authorization Specialist is responsible for verifying the accuracy of insurance coverage for scheduled services and obtaining payer authorization for same.
Responsibilities: 1.Is responsible for verifying the accuracy of insurance coverage for scheduled services.
2.Obtains/secures referrals, authorization, and initiates pre certification of insurance.
3.Maintains departmental defined timely and accuracy requirements.
4.Identifies any patient responsible amounts due and refers to the Financial Counselor.
5.Other duties as required.
Other information: Technical Expertise 1.Experience in a moderate to large healthcare hospital-based enterprise in a relevant position is required.
2.Experience in all patient/customer service aspects that demonstrate excellence in service to patients and their families. Experience working with affiliated colleagues throughout the revenue cycle related to the authorization process is required.
3.Experience working with physicians, providers and clinical staff related to the authorization process is preferred.
4.Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
5.Epic experience is preferred.
Education and Experience 1.Education: High school diploma or equivalent is required.
3.Years of relevant experience: 3 to 5 years is preferred.
4.Years of relevant experience: 1 to 2 years is required, but may be waived if relevant industry experience can be demonstrated.
5.Years of experience supervising: None.
Akron Children's Hospital is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities.
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