Authorization Coordinator

3 weeks ago


Clifton, New Jersey, United States Progressive Spine & Orthopaedics, LLC Full time
Job description

Authorization Coordinator

Job Summary:

The Authorization Coordinator at Progressive Spine & Orthopaedics plays a crucial role in ensuring that all necessary authorizations for surgeries are obtained efficiently and accurately within a timely manner. This position involves working closely with the Surgical Coordinator and Team Lead to secure authorizations from various entities, including out-of-network insurances, workers' compensation, etc.

Responsibilities:

  • Obtaining all authorizations for surgery from out-of-network insurances, worker's comp, etc.
  • Request documentation needed from patients and attorneys to submit with authorizations.
  • Ensure all necessary information is submitted accurately and timely to avoid delays in surgery scheduling.
  • Communicate effectively with the Surgical Coordinator, Team Lead, and surgical facilities' staff regarding authorization status and requirements.
  • Maintain detailed records of all authorization requests and follow-ups.
  • Resolve any authorization-related issues or denials.
  • Respond timely to all phone calls and emails from patients, physicians, co-workers, insurance companies, hospitals and firms.
  • Document all account activity, updating patient information in EMR, etc.
  • Request, follow-up and secure prior-authorizations prior to services being performed.
  • Verify all necessary information and record information in patient's medical record regarding surgery and any surgical related patient needs.
  • Available to answer physician, patient, adn staff questions regarding patient's upcoming surgeries.
  • Keep up-to-date with changes in insurance requirements and authorization processes.
  • Other duties as assigned.

Qualifications:

  • High school diploma or equivalent; additional education or certification in healthcare administration is a plus.
  • Proven experience working in a similar role, preferably in a healthcare setting.
  • Strong understanding of authorization processes for surgery, including health insurance and workers' compensation.
  • Excellent communication and organizational skills.
  • Ability to work effectively in a fast-paced environment and prioritize tasks.
  • Proficiency in computer skills, including MS Office applications.
  • Knowledge of medical terminology and orthopaedic procedures is a plus.

Job Type: Full-time

Benefits:

  • Dental insurance
  • Health insurance
  • Paid time off
  • Retirement plan
  • Vision insurance

Weekly day range:

  • Monday to Friday
  • No weekends

Experience:

  • NJ OON, WC, PI, No Fault Orthopedic Surgical Authorization: 2 years (Required)

Ability to Relocate:

  • Clifton, NJ 07014: Relocate before starting work (Required)

Work Location: In person



PI1de241ca442f



  • Clifton, New Jersey, United States Progressive Spine and Orthopaedics, LLC Full time

    Job descriptionAuthorization CoordinatorJob Summary:The Authorization Coordinator at Progressive Spine & Orthopaedics plays a crucial role in ensuring that all necessary authorizations for surgeries are obtained efficiently and accurately within a timely manner. This position involves working closely with the Surgical Coordinator and Team Lead to secure...


  • Clifton, New Jersey, United States Thunderbolt Inc Full time

    What can you expect?You will be responsible for planning, tendering, and monitoring investment projectsYou will handle equipment and network calculations for low and medium voltage networksYou will be in charge of overall coordination and management of cross-sector investment projectsYou will monitor and coordinate external engineering and construction...


  • Clifton, New Jersey, United States Takeda Pharmaceutical Full time

    By clicking the Apply button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takedas and . I further attest that all information I submit in my employment application is true to the best of my knowledge.Job DescriptionTakeda Development Center...

  • HR Generalist

    3 weeks ago


    Clifton, New Jersey, United States Joulé Full time

    Title: HR Generalist Scroll down for a complete overview of what this job will require Are you the right candidate for this opportunityLocation: Clifton, NJ areaSchedule: M-F Full TimeType: Direct HireResponsibilities: The HR Generalist will report to the Director of Human Resources and will play an active role in recruiting & onboarding new hires, support...


  • Clifton, New Jersey, United States Optum Full time

    Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your...


  • Clifton Park, New York, United States New York Oncology & Hematology Full time

    Overview:Pay Range: $ $23.48 per hourAre you someone who's compassionate and loves a good work-life balance? If your answer is yes, then continue readingSCOPE:Under direct supervision, responsible for scheduling patient appointments and tests in an efficient and timely manner. Answers all incoming calls and directs calls to appropriate personnel. Serves as a...


  • Clifton Park, New York, United States Veterans Health Administration Full time

    Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to...


  • Clifton Park, United States The US Oncology Network Full time

    Overview: Employment Type : Full Time **Remote Position** Benefits : M/D/V, Life Ins., 401(k), PTO, Paid Holidays Clifton Park, NY Pay Range: $20-$24 hourly **JOB SCOPE**:Under general supervision, reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in...

  • Surgical Coordinator

    2 weeks ago


    Clifton, United States Progressive Spine & Orthopaedics, LLC Full time

    Job DescriptionJob DescriptionJOB TITLE: Surgical CoordinatorEMPLOYER: Progressive Spine & Orthopaedics SUMMARY: Serves as the liaison between surgeons and their teams, hospitals, Ambulatory Surgical Centers (ASC) and other surgical staff. Ensure everything is in place before a procedure begins.Surgical coordinators may also act as an intermediary between...


  • Clifton, United States Lifeline Vascular Care Full time

    At Lifeline Vascular Care, we provide the highest quality, most comprehensive and up-to-date care for our patients. Our employees are talented, passionate health care professionals who know how to provide excellent patient care and customer service. We look for people who have a strong work ethic with a positive outlook and team-work attitude with the skills...

  • Surgical Coordinator

    1 month ago


    Clifton, United States Progressive Spine & Orthopaedics, LLC Full time

    Job DescriptionJob DescriptionThis is your opportunity to be part of a company whose mission is to improve the lives of the patients we serve and honor our team members who make it happen.The Surgical Coordinator is an important role that requires the successful candidate to clearly and effectively communicate with doctors' offices and patients to ensure...


  • Clifton Park, United States Ellis Medicine Full time

    **SECTION I**: **BASIC FUNCTION**: The Scheduling Coordinator II is responsible for the coordination of business office activity. This position involves knowledge of all computer software programs, which are utilized in daily operations. The Scheduling Coordinator II may be called upon to perform registration and check out in addition to scheduling....


  • Clifton, United States NJ Pain Spine Group Full time

    The Medical Billing / Office Manager is a full-time position responsible for overseeing the billing coding staff and making day-to-day decisions; responsible for understanding and coding all procedures within regulatory mandates; assists with following up on insurance claims, and submit appeals as needed as well as helping in getting pre-authorizations for...

  • Maintenance Director

    3 weeks ago


    Clifton, United States Arcadia Care Clifton Full time

    **SUMMARY**: The primary purpose of the Maintenance Director is to plan, organize, develop, and direct the overall operation of the Maintenance and Housekeeping Department in accordance with current, federal, state and local standards, guidelines, and regulations governing our facility, and as may be directed by the Administrator, to assure that our facility...

  • HR Generalist

    4 weeks ago


    Clifton, United States Joulé Full time

    Title: HR Generalist Location: Clifton, NJ area Schedule: M-F Full Time Type: Direct Hire Responsibilities: The HR Generalist will report to the Director of Human Resources and will play an active role in recruiting & onboarding new hires, support HRIS implementation efforts and be the primary contact person for any HR-related inquiries. This role...

  • HR Generalist

    4 weeks ago


    Clifton, United States Joule Full time

    Title: HR Generalist Location: Clifton, NJ area Schedule: M-F Full Time Type: Direct Hire Responsibilities: The HR Generalist will report to the Director of Human Resources and will play an active role in recruiting & onboarding new hires, support HRIS implementation efforts and be the primary contact person for any HR-related inquiries. This role provides...


  • Clifton, United States Transdev Full time

    Now Hiring Transit Service Manager for HTVMC Lower Hudson Link Line -Transdev Services, Inc. About Transdev: Based near Chicago, Transdev is the largest private-sector operator of multiple modes of transit in North America, including bus, rail, streetcar, paratransit, and shuttle services. Transdev is committed to being the trusted partner of cities and...

  • HR Generalist

    1 month ago


    Clifton, United States System One Holdings, LLC Full time

    Title:HR Generalist Location:Clifton, NJ area Schedule:M-F Full Time Type: Direct Hire Responsibilities: The HR Generalist will report to the Director of Human Resources and will play an active role in recruiting & onboarding new hires, support HRIS implementation efforts and be the primary contact person for any HR-related inquiries. This role provides...


  • Clifton, United States Kessler Rehabilitation Center Full time

    Overview: **Kessler Rehabilitation Center** **Patient Service Specialist** ** Front Desk Receptionist Position** **Location: 251 Clifton Avenue Clifton, NJ!** **Full-time (40 hours)** **Pay Range: $18-20 hourly depending on experience** *** MUST be bilingual spanish/english** **Kessler Rehabilitation Center** is the outpatient network of Kessler...

  • Treatment Manager

    1 week ago


    Clifton, United States CoreCivic Full time

    **$70k - $80k per. year** At **CoreCivic** , our Treatment (Substance Abuse) teams make lasting changes in the lives of offenders, as we set the standards of care in the industry. This is your opportunity to make a satisfying career even more rewarding. CoreCivic is currently seeking **Treatment Managers** who have a passion for providing the highest quality...


  • Clifton Park, United States US Oncology, Inc. Full time

    Overview Pay Range: $19.00 - $23.48 per hour Are you someone who's compassionate and loves a good work-life balance? If your answer is yes, then continue reading! SCOPE: Under direct supervision, responsible for scheduling patient appointments and tests in an efficient and timely manner. Answers all incoming calls and directs calls to appropriate...


  • Clifton, United States Optum Full time

    **Opportunities with Optum in the Tri-State region** (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your...


  • Clifton, United States Quest Diagnostics Full time

    Overview: This role is responsible for creating, documenting, training, implementing and analyzing processes that ensure compliance with regulatory and company standards. Lead compilation of documents and responses for regulatory audits, report record audits and maintenance of records required for certifications/inspections. **Responsibilities**: -...


  • Clifton, United States Mobilink Microfinance Bank Ltd Full time

    What is Banking Services Manager - MMBL? A Banking Services Manager oversees branch operations, ensuring adherence to bank policies and regulatory requirements. They lead and supervise branch staff, maintain a customer-focused environment, and handle customer complaints. They manage financial and non-financial transactions, maintain security and...

  • Director of Nursing

    1 month ago


    Clifton, United States SERV Behavioral Health System Full time

    Job DescriptionJob DescriptionSERV, a well-established leader in behavioral healthcare in New Jersey, supports people with mental illness and/or intellectual/developmental disabilities as they achieve greater independence and life satisfaction through a wide range of services.Job Summary:  In accordance with N.J.A.C. 10:161B-8, the director of nursing...

  • Director of Nursing

    1 month ago


    Clifton, United States SERV Behavioral Health System, Inc. Full time

    SERV, a well-established leader in behavioral healthcare in New Jersey, supports people with mental illness and/or intellectual/developmental disabilities as they achieve greater independence and life satisfaction through a wide range of services. Job Summary: In accordance with N.J.A.C. 10:161B-8, the director of nursing services shall be responsible for...

  • Operations Manager

    1 month ago


    Clifton, United States Integrated Power Services Full time

    Who We Are:  Integrated Power Services (IPS) is the leading North American solution provider for power management, electro-mechanical and rotating assets. Serving customers across a wide range of industries, including power generation, utilities, water and wastewater, petrochemicals, air separation, oil & gas, metals, mining, paper, aggregates, and...