Job Detail

Revenue Cycle Authorization Specialist Harvard Eye Associates 23961 Calle de la Magdalena, Laguna Hills, CA 92653 $47,840 - $54,080 a year - Full-time - Medical Billing & Coding

Date Posted: Dec 20, 2021

Job Description

Job details

$47,840 - $54,080 a year
Job Type
Number of hires for this role


    • High school or equivalent (Preferred)

    • Insurance verification: 2 years (Preferred)

    • Medical billing: 2 years (Preferred)

Pulled from the full job description
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Employee discount
Professional development assistance
Life insurance

Full Job Description

Come be a part of our team!!!

Summary of Job Purpose: The Revenue Cycle Authorization Specialist is responsible for checking and providing financial benefits and approved authorizations for Injections and Surgeries for patients to ensure approved services will be provided and to prevent denials. Interacts with providers, techs, counselors, patients, and insurance companies to ensure appropriate actions are being done to move forward with an approved procedure. Provides excellent customer service and is very knowledgeable with insurance and Co-Pay assistance programs.

Essential Duties and Responsibilities

1. Ensures all assigned tasks for authorizations are reviewed, requested, and completed in a timely manner with a response of the Authorization Number and Care Estimators listed in the account notes. Validate CPT and DX codes along with the proper listed procedure provided by the Counselors.

2. Update and Maintain a weekly/monthly log of providers and their up and coming procedure appointments to obtain authorization.
3. Properly fax and/or upload electronic requests ( Notes, Pictures, Forms, etc.) to the appropriate insurance portals.
4. Respond to emails, calls, and tasks within 24-48 hours
5. Authorization requests that require a response ASAP are completed once validated the same day.
6. Coordinates with the Manager of Revenue Cycle Management on improvements with the internal process and changes with the vendors.
7. Handle customer phone calls, address issues as appropriate, and use excellent customer service skills.
8. Completes other duties as assigned by the Manager of Revenue Cycle Management.

Minimum Education and/or Experience:

  • High school diploma or general education degree (GED) required
  • Minimum of one year experience as a medical office biller (NextGen preferred), or similar experience, required

Required Certificates/Licenses:

  • Certified Professional Coder (CDC) or Ophthalmic Coding Specialist (OCS) preferred

Essential Skills and Abilities:
1. Ability to work independently.
2. Strong organizational skills with attention to detail.
3. Proficiency in Microsoft Office and NextGen EPM and EMR.
4. Excellent verbal and written communication and customer service skills.

Job Type: Full-time

Pay: $47,840.00 - $54,080.00 per year


  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee discount
  • Health insurance
  • Life insurance
  • Paid time off
  • Professional development assistance
  • Tuition reimbursement
  • Vision insurance


  • 8 hour shift
  • Day shift
  • Monday to Friday
  • No weekends

COVID-19 considerations:
All employees are required to wear a mask inside at all times.


  • High school or equivalent (Preferred)


  • Insurance verification: 2 years (Preferred)
  • Medical billing: 2 years (Preferred)

Work Location: One location



23961 Calle de la Magdalena, Laguna Hills, CA 92653

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