Central Authorizations Data Management - Revision Specialist

Job description

To apply please email resume to careers@sonus.com

About Sonus:

Sonus Hearing Care Professionals is a leader in the hearing healthcare industry, and it’s our mission to provide excellence in hearing healthcare, one patient at a time. Our patient-centered approach means we put the patient first. We also take great pride in making positive contributions to the communities we serve.

About the Central Authorizations Data Management Specialist:

The role of the Central Authorizations Data Management Specialist is to promptly, efficiently and accurately access and process authorizations for all Sonus Hearing Care Professionals locations as outlined in the Central Authorizations Procedure Manual, via electronic methods including, but not limited to; eFax, email, and Insurance / Provider online Portals. Maintain turnaround time compliance as directed by the Central Authorization Coordinator. Promote the quality and cost effectiveness of medical care through strict adherence to all Serendipity Hearing, Inc. Policies and Procedures.

Position Responsibilities:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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Ability to access and collect authorization data from various sources and websites.

  • Accurately perform data entry of patient demographic and insurance information into EMR.

  • Ability to consistently meet or exceed quotas / benchmarks as determined by management.

  • Maintain electronic records and logs as appropriate.

  • Run reports, file paperwork, and operating office equipment.

  • Identify issues that need to be escalated to a lead or supervisor.

  • Identify opportunities for improvement and make recommendations for change.

  • Work in collaboration with the department Specialists, Team Supervisor, and Director to ensure a level of referral processing that meets or exceeds the organization’s expectation.

  • Recognize when an error has been made and immediately report it to the appropriate supervisor or manager.

  • Complete assigned tasks accurately and within specified time limits.

  • Assist other staff and support the team approach.

  • Participate in the efficient, effective, and responsible use of resources such as supplies and equipment.

  • Maintain the confidentiality of patient information in accordance with company policy & procedure, and HIPAA regulations.

  • Maintain all reference material that is provided by the supervisor, or director.

  • Perform other duties as assigned.

Required Skills:

  • Ability to operate PC based software programs or data base management systems

  • Knowledge of computers, faxes, printers and all other equipment.

  • Proficient in MS Office programs (i.e. Word, Excel, Outlook, Access and PowerPoint).

  • Typing 60 words per minute with accuracy.

  • Must possess strong organizational skills and be detail oriented.

  • Ability to multi-task and meet turnaround times

  • Ability to deal with responsibility with confidential matters.

  • Ability to work in a multi-task, high energy environment.

  • Able to solve complex prior authorization questions and issues.

Required Education and Experience

Experience and education requirements may be adjusted where necessary in response to labor market constraints.

  • High School Diploma, Associates Degree or higher and/or specialized training in medical industry preferred.

  • Minimum of 1-2 years of experience in an IPA or Medical Office.

  • Experience with claims billing and / or prior authorization process strongly preferred.

  • Knowledge of Healthcare and Managed Care preferred.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Work Environment:

This job operates in a professional office environment. This role routinely uses standard office equipment such as laptop computers and smartphones.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 20 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

Expected Hours of Work:

This is a full-time position. Standard days of work are Monday through Friday and hours of work may vary from 7:00 a.m. to 5:00 p.m. as needed. Flexibility within the standards of California laws and regulations regarding lunches, breaks and work hours. Willingness to work overtime as needed.

Salary and Benefits Package:

  • $17.00 an hour

  • Medical, Dental, Vision, Life, Disability, 401(k) with Employer Matching

  • 15 Paid Vacation Days

  • 7 Paid Holidays

  • 6 Paid Sick Days

A background check is required of the final candidate.

Serendipity Hearing, Inc. d.b.a. Sonus Hearing Care Professionals is an Equal Opportunity Employer.

Job Type: Full-time

Salary: $18.00 - $20.00 per hour

Benefits:

 

  • 401(k)

  • 401(k) matching

  • Dental insurance

  • Employee assistance program

  • Employee discount

  • Flexible spending account

  • Health insurance

  • Life insurance

  • Paid time off

  • Referral program

  • Retirement plan

  • Vision insurance

 

Schedule:

 

  • 8 hour shift

  • Day shift

  • Monday to Friday

 

Education:

 

  • High school or equivalent (Preferred)

 

Experience:

 

  • SQL: 1 year (Preferred)

  • Data Management: 1 year (Preferred)

 

Work Location: One location