PATIENT AUTHORIZATION COORDINATOR

2 weeks ago


Fairfield NJ USA, United States Res-Care, Inc. Full time
Our Company

Amerita

Overview

The Patient Authorization Coordinator - Lead has primary responsibility for the timely clearance of new referrals. In addition, this position provides support and training for Patient Authorization Coordinator team members as well as other specialty intake staff as necessary.

Responsibilities

* Obtains core initial authorizations and re-authorizations as required for branch
* Enters patient authorization information into the computer
* Generates tracking reports from CPR+ to assist with tracking of authorizations and daily Rx dispensing reports to identify changes in patient's therapy
* Communicates with other departments regarding the status of authorizations
* Understands which insurance providers have active contracts with Amerita
* Manages assigned statuses (Auth, Auth Pending) in the Ready to Bill
* Leads Patient Authorization Coordinator team in support of RCM to ensure billing and collections issues are researched and when possible, resolved
* Maintains confidentiality of patient and proprietary information
* Supports other branches as needed

Qualifications

* High School Diploma/GED or equivalent required; Associate's Degree or some college preferred
* Minimum two (2) years of experience collecting referral information in the healthcare market
* Experience working with all payer types, including Medicare, Medicaid and commercial insurance companies
* Knowledge of insurance verification and pre-certification procedures
* Understands the scope of services that Amerita can provide
* Strong verbal and written communication skills

About our Line of Business

Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visit www.ameritaiv.com. Follow us on Twitter and LinkedIn.

Salary Range

USD $28.00 / Hour

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