LUIS ALFREDO GUERRERO MD PLLC
Here's a professional Authorization Specialist job description that includes experience with eClinicalWorks (eCW):
Job Title: Authorization Specialist
Location:Drg pain and Orthopedics Department: Revenue Cycle / Front Office / Medical Billing Reports To: Billing Supervisor / Practice Manager
Job Summary:
We are seeking a detail-oriented and efficient Authorization Specialist with hands-on experience in eClinicalWorks (eCW). The Authorization Specialist is responsible for verifying insurance coverage, obtaining prior authorizations for procedures, imaging, referrals, and medications, and ensuring all required documentation is accurately entered into the eCW system. This role plays a vital part in optimizing patient access to care while ensuring compliance with payer guidelines.
Key Responsibilities:
Request and obtain prior authorizations for procedures, diagnostic tests, specialist referrals, and medications using payer portals and telephone communication
Utilize eClinicalWorks (eCW) to input, track, and monitor all authorization-related activities and documentation
Review patient charts and physician orders to gather required information for authorization requests
Communicate with insurance companies to follow up on pending authorizations and resolve any issues or denials
Notify clinical staff and patients of authorization approvals, denials, or additional information needed
Ensure timely submission of all authorization requests to avoid appointment delays or claim denials
Maintain up-to-date knowledge of insurance guidelines, payer policies, and authorization requirements
Collaborate with scheduling, billing, and clinical teams to ensure a smooth patient experience
Accurately document all communication and status updates in eCW and maintain detailed authorization logs
Respond to inquiries from patients or staff regarding insurance coverage and authorization status
Perform insurance eligibility checks and benefit verifications when needed
Qualifications:
High School Diploma or equivalent required; Associate’s degree preferred
Minimum 2 years of experience in medical authorization or insurance verification
Proficient in eClinicalWorks (eCW) or similar EHR systems
Strong understanding of medical terminology, CPT/ICD-10 codes, and insurance processes
Knowledge of commercial insurance, Medicare, Medicaid, and managed care plans
Exceptional attention to detail and organizational skills
Ability to handle confidential information in accordance with HIPAA guidelines
Strong communication skills (both verbal and written)
Bilingual (English/Spanish) is a plus
Work Schedule:
Full-time, Monday – Friday, 8-4
Compensation:
[Include salary range or indicate “commensurate with experience” and mention any benefits like PTO, health insurance, etc.]
Let me know if you'd like this tailored to a specific medical specialty (e.g., cardiology, orthopedics, imaging center), or rewritten in resume or job ad format.
Job Title: Authorization Specialist
Location:Drg pain and Orthopedics Department: Revenue Cycle / Front Office / Medical Billing Reports To: Billing Supervisor / Practice Manager
Job Summary:
We are seeking a detail-oriented and efficient Authorization Specialist with hands-on experience in eClinicalWorks (eCW). The Authorization Specialist is responsible for verifying insurance coverage, obtaining prior authorizations for procedures, imaging, referrals, and medications, and ensuring all required documentation is accurately entered into the eCW system. This role plays a vital part in optimizing patient access to care while ensuring compliance with payer guidelines.
Key Responsibilities:
Request and obtain prior authorizations for procedures, diagnostic tests, specialist referrals, and medications using payer portals and telephone communication
Utilize eClinicalWorks (eCW) to input, track, and monitor all authorization-related activities and documentation
Review patient charts and physician orders to gather required information for authorization requests
Communicate with insurance companies to follow up on pending authorizations and resolve any issues or denials
Notify clinical staff and patients of authorization approvals, denials, or additional information needed
Ensure timely submission of all authorization requests to avoid appointment delays or claim denials
Maintain up-to-date knowledge of insurance guidelines, payer policies, and authorization requirements
Collaborate with scheduling, billing, and clinical teams to ensure a smooth patient experience
Accurately document all communication and status updates in eCW and maintain detailed authorization logs
Respond to inquiries from patients or staff regarding insurance coverage and authorization status
Perform insurance eligibility checks and benefit verifications when needed
Qualifications:
High School Diploma or equivalent required; Associate’s degree preferred
Minimum 2 years of experience in medical authorization or insurance verification
Proficient in eClinicalWorks (eCW) or similar EHR systems
Strong understanding of medical terminology, CPT/ICD-10 codes, and insurance processes
Knowledge of commercial insurance, Medicare, Medicaid, and managed care plans
Exceptional attention to detail and organizational skills
Ability to handle confidential information in accordance with HIPAA guidelines
Strong communication skills (both verbal and written)
Bilingual (English/Spanish) is a plus
Work Schedule:
Full-time, Monday – Friday, 8-4
Compensation:
[Include salary range or indicate “commensurate with experience” and mention any benefits like PTO, health insurance, etc.]
Let me know if you'd like this tailored to a specific medical specialty (e.g., cardiology, orthopedics, imaging center), or rewritten in resume or job ad format.