Authorization Specialist

At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation’s largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas - including 25 ambulatory surgical centers.At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees!As an Authorization Specialist, you'll verify insurance coverage, benefits, and obtain prior authorization for services.Contacts insurance plans to determine eligibility, obtains coverage, benefit information, and prior authorization for servicesProcesses requests for prior authorization from clinics and Patient Care CoordinatorsDocuments findings thoroughly and accuratelyMakes changes to demographic information as necessary in order to produce a clean patient statementMeets or exceeds productivity standards in the completion of daily assignments and accurate productionMaintains an error rate in accordance with departmental policyPerforms training with organizational staff on procedures for requesting, documenting and processing prior authorizationsPerforms additional duties as assignedHigh School Diploma or GED2+ years of experience in medical billing environmentOphthalmology background is a plusActive knowledge of CMS guidelines contracted insurance guidelines and coding policiesDemonstrated computer and math skillsDetail oriented, reliable and able to multi-task in a fast-paced, high-volume work environmentExcellent verbal and written communication skillsAbility to maintain a high level of confidentiality (HIPAA guidelines and regulations) and professionalismYour health, happiness and your future matters! At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!

Created: 2025-12-18