Pre-Authorization Coordinator

Primary responsibilities include but are not limited to the following:

· Assisting patients and providers with the pre-authorization of in-house procedures, durable medical equipment, etc. as required by the patient’s insurance plan

· Creating and maintaining the pre-authorization messages, documents and corresponding information within the EMR

· Developing and sustaining an effective workflow processes to ensure that all pre-authorization requests are processed in a timely manner for continuity of patient care

· Contacting insurance carriers by phone or online to initiate pre-authorization processes and provide clinical information from the patient’s chart

· Contacting ordering provider if assistance is needed in obtaining required medical documentation

· Completing pre-authorization request forms (if required) and return to insurer with any pertinent medical notes from the patient’s chart

· Supporting other departments with the processing of referrals and other duties assigned

Qualifications

· Organized work habits which include- attention to detail, ability to prioritize work and handle multiple tasks in a fast-paced setting

· Good knowledge of medical insurance and the concept of referrals/pre-authorizations and their intended impact on health care delivery and reimbursement

· Ability to identify denials and submit appropriate appeals with clearly defined documentation

· Quality communication skills, both oral and written

· General knowledge of medical terminology and the capacity to analyze required forms of documentation

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday

Work Location: In person