Pre-Authorization Specialist

2 weeks ago


Woodland Park, Colorado, United States Coda Staffing Full time
Job Description

Job Description

Very busy Gastro practice – need to have an element of speed to keep up with the eligibility and authorization requests
This position is on site in Woodland Park NJ Mon thru Fri
Obtain pre-authorizations for gastro procedures (colonoscopy, endoscopy, ERCP, capsules, etc.) – Full understanding of CPT and ICD codes.
Must have a comprehensive knowledge of insurance carrier policies and procedures – insurance will often provide

incorrect/misinformation

(such as no authorization required).

Our company policy is:

they must be two weeks ahead of the scheduled procedures as authorization requests can be delayed/take longer than expected – this requires speed.

Eligibility verification for all patients being seen each day using various portals – our EMR (ECW), Navinet, Availity, E-tactics, etc.

The ability to comprehend and explain patient benefits – deductibles, coinsurance, copays, any patient responsibility
Calling patients to explain these benefits prior to their procedures – need to have an element of customer service and be able to explain and answer questions regarding patient benefits/financial responsibility
The ability to effectively communicate with providers, staff, and patients – both written and oral.

You will be sending many emails to providers and staff regarding authorization requests, they are also communicating with patients regularly.

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