An Authorization Clerk is responsible for providing administrative support to the prior authorization team. While actual duties tend to vary based on the requirements of the employer, the following are certain core duties mentioned on the Authorization Clerk Resume – assisting in receiving and reviewing prescription prior-authorization requests from providers, undertaking responsibility for providing general prior authorization information requests through fax, email, and phone; receiving and reviewing a lot of clinical documents from the doctor’s office, and other providers.
Even while the duties vary, the needed skills to execute them are universally common and include the following – strong administrative experience preferably from a healthcare background, detail-oriented nature, multitasking skills, the ability to navigate through various screens, proficiency with computer and the ability to learn systems quickly, and strong typing skills. A high school diploma or GED is commonplace among job applicants.
Objective : Authorization Clerk is responsible for Administering a customers payment card processing account, Validating and authorising payment card transactions on behalf of customers, Ensuring that funds are being disbursed to the correct parties in accordance with company policies and procedures, Requesting authorisation information from external parties, if required by policy or regulatory requirements.
Skills : Customer Service (10+ years), Microsoft Office, Clerical Skills.
Description :
Protected the security of medical records to ensure that confidentiality is maintained.
Reviewed records for completeness, accuracy, and compliance with regulations.
Retrieved patient medical records for physicians, technicians, or other medical personnel.
Reviewed insurance policy to determine coverage.
Prepared insurance claim forms or related documents and review them for completeness.
Provided customer service, such as limited instructions on proceeding with claims or referrals.
Developed client account passwords and credentials to keep clients informed of new functionality releases.
Experience
2-5 Years
Level
Executive
Education
BA
Authorization Clerk Resume
Headline : Have developed extraordinary analytical, teaching and organizational skills utilizing office procedures, systems and equipment. I have experience with the following: All Microsoft software packages, Lotus Smartsuite, Lotus Notes, PRISM, People Soft. I am a swift learner with any software system which has resulted in teaching co-workers and students. I recently completed a Medical Code course.
Reviewed, verified and filed a claim for patients to Insurance company for Authorisations Front desk responsibility.
Answered the phone calls, scheduling an appointments Filing the charts and other paperwork.
Coded-decoded for billings.
Scheduled tests & procedure at outside facilities.
Prepared the charts for the patient.
Scheduled tests & procedure at outside facilities.
Recorded and maintained office and patient records into computer.
Experience
5-7 Years
Level
Executive
Education
Bachelor's
Authorization Clerk Resume
Summary : Authorization Clerk with 8 years of experience in Performing daily updates on product purchases, sales, and balances, Updating the product purchase history for each customer to include any changes since last update, Verifying that all sales are paid within 10 business days of purchase date, Verifying that all invoices are paid within 10 business days of invoice date.
Skills : Microsoft Office Suite, Team Player, Communication, Verbal/Writing, Training, Presentation & Problem Solving .
Description :
Served as a Program Support Assistant to the Non VA Care Coordinator (NVCC) and is responsible for the administrative affairs of the service.
Responsible for all daily business, administrative and coordination activities, including preparation of presentations and reports, arranging meetings and conferences.
Served as the liaison between the ordering provider and the community vendor providing requested/required heath care services that are unavailable within the organization.
Maintained records of transactions for all customer contacts.
Effectively identifies problems as they occur and takes appropriate steps to solve them in situations where the problem can be difficult or complex.
Supported comprehensive coordination of services including the authorizations process, Medicaid applications, and promotes support and assistance to facilitate delivery of appropriate quality services, promote costs effective outcomes and improve program/operational efficiency.
Assist with entry and tracking of all data according to calendar deadlines, as well as ongoing updates and maintenance of all records for reporting.
Experience
7-10 Years
Level
Management
Education
MBA In Business Administration
Authorization Clerk Resume
Objective : To obtain an Authorization Clerk position in a successful company where there is room for growth and advancement. I am an Administrative professional offering excellent communication and computer skills. Meets deadlines and works with a high level of multicultural awareness and adaptability.
Answered and managed incoming and outgoing calls while recording accurate messages.
Reviewed and updated client correspondence files and scheduling database.
Reviewed medical records for completeness and filed records in alphabetic and numeric order.
Experience
0-2 Years
Level
Entry Level
Education
Associate Of Arts
Authorization Clerk Resume
Objective : Authorization Clerk with 3+ years of experience in Ensuring that customers are correctly signed in and authorised for their products, Ensuring that all information entered in the system is correct, Performing periodic security audits to verify that the system has not been compromised by unauthorised access.
Skills : Bilingual, Planning, Medical Skills.
Description :
Placed at the Veterans Affairs through DM Dickason Staffing Agency.
Followed up with physicians and veterans to make sure they kept their appointments within the time frame allowed.
Coded inpatient, outpatient, and diagnostic services.
Abstracted medical records with ICD-9 and CPT coding.
Reviewed charts for correct admit/discharge dates and entered proper procedure dates.
Processed payments and performed other general office duties.
Posted or attached information to claim file.
Experience
2-5 Years
Level
Executive
Education
Masters In Business Administration
Authorization Clerk Resume
Objective : Authorization Clerk is responsible for Resolving customer complaints and issues using appropriate internal resources and outside vendors as required, Ensuring compliance with Company policies and procedures, Maintaining accuracy of records, including without limitation: invoices, expense reports, receipts, billing statements etc.
Skills : Microsoft Office, Data Entry, Stocking, Answering Phones, Purchasing.
Description :
Managed various general office duties such as answering phones, completing insurance forms and mailing procedure approvals/referral approvals.
Verified all forms of insurance.
Notified patients of their procedure approvals.
Documented and entered correct insurance and guarantor information.
Followed up on extensions as needed.
Interacted with case managers to gather all medical information needed.
Worked closely with nurses RN/LVN assigned to patients.
Experience
2-5 Years
Level
Executive
Education
Bachelors Of Science
Authorization Clerk Resume
Headline : Organized Authorization Clerk with foundation in records management, Experienced in billing and collection procedures. Advanced medical terminology knowledge, Seeking full time employment with opportunity for future advancement.
Used Strong medical ethics Enthusiastic care giver Advanced problem-solving skills Client and family focused Ability to manage priorities and meet deadlines Meticulous organizational skills.
Contact insured or other involved persons to obtain missing information.
Provided support for authorized users in case of problems with software or hardware.
Processed all product transactions, including refunds and returns.
Reviewed usage reports and report on any anomalies or irregularities in usage patterns.
Handled all inquiries regarding end user licenses.
Managed billing and accounting issues as required by business operations management team.
Experience
5-7 Years
Level
Executive
Education
Diploma
Authorization Clerk Resume
Summary : Authorization Clerk with 8+ years of experience in Providing customer service for new product launches, Creating customized reports to meet various needs, Coordinating with other departments to ensure timely completion of projects, Maintaining an accurate inventory of products available for sale; maintaining up to date purchase orders; maintaining current contracts and invoices; and maintaining accounts payable.
Skills : Microsoft Word And Excel, Inventory Control.
Description :
Processed customer payments.
Managed the credit card system for all accounts.
Notarized all invoices as needed.
Wrote effective sales letters and proposals to customers as needed.
Scheduled meetings with customers to discuss product plans, price changes or other business issues.
Worked with outside vendors to obtain quotes on product pricing or other services as needed.
Provided proof of funds for all transactions under $50,000 before they are processed by the company's accounting department.
Experience
7-10 Years
Level
Management
Education
MS
Authorization Clerk Resume
Headline : To give my best to my employer while developing and excelling at new ideas. Ability to work as an individual or as a team member enables me to prioritise and focus on the issue of obtaining the highest reimbursement possible for the practice.
Skills : Microsoft Office, Customer Service, Time Management, Computer Skills.
Description :
Established a customer relationship that supports a robust sales process and successful customer experience.
Prepared invoices at the end of each day.
Built and maintained a robust authorization system with all required components in a timely manner.
Performed due diligence on all customer accounts to determine if they are creditworthy (i.e. bank account, credit card).
Provided daily reports to management on system performance (i.e. average transaction amount, average transaction time).
Identified trends in software usage across all applications that may require modification or replacement so that the system can be optimised for future usage.
Reviewed sales order information for potential fraud risk mitigation.
Experience
5-7 Years
Level
Executive
Education
Master's
Authorization Clerk Resume
Summary : Authorization Clerk is responsible for Ensuring that all product and customer security requirements are met, Performing a complete review of current authorised products on a daily basis, Maintaining a list of all products in production, Assisting customers with product development or customisation requests.
Skills : Communication, Data Entry, Detail Oriented, Faxing, Inventory Management, Training, Team Player
Description :
Worked closely with other systems administrators to ensure that current processes are being followed through the application process.
Managed customer accounts.
Processed invoices from customers.
Provided customer service to customers.
Maintained a positive customer experience by providing timely answers to questions and resolving disputes quickly.
Handled requests from customers to change credit card details or account information.
Maintained customer databases with accurate information on all orders, products, and services received by the company.
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