Prior Auth

2 weeks ago

atlanta, United States Prestige Staffing Full time
JobID: 47409
Onsite Prior Authorization Specialist
Job Overview
Position requires utilization of clinical knowledge and excellent customer service skills to schedule appropriate procedures/surgeries per provider’s orders in the hospital, ambulatory
surgery center or in office places of service.
Location: Smyrna, GA
Hours: Normal Business Hours
3 month contract to perm role
Responsibilities And Duties
  • Initiate and follow up on precertification for commercial payers either online or by phone as per payer protocol until a determination is obtained
  • Obtain benefits and eligibility for professional fees from the insurance company and inform the patient appropriately
  • Ensure all DME and MRI/X rays/CT scans are forwarded to the facility prior to the surgery date
  • Consult with patient to schedule patient surgery and/or procedures while answering any questions as requested
  • Collect any surgery deposits and assist the patient with setting up payment plans, educate patient on financial responsibility, and inform AR team patient information and payment plan.
  • Enter the date of surgery and post operative visits in the EMR System
  • Email a surgery packet to the patient including pre-op and surgery instructions, post op appointment, reminder of any balances to be collected prior to the surgery date, attach both the surgery handbook and facility information
  • Consolidate surgery packet and forward to facility scheduled for procedure
  • Coordinate COVID-19 test for non-vaccinated patients
  • Coordinate surgery with other physicians and vendors
  • Assisting in preop for medical clearance for scheduled procedure
  • Assist as needed with clinic and patient workflow
  • Document authorizations in EMR
  • Coordinating direct admissions to nearby hospitals for CTCA and LBS patients
  • Scheduling and coordinating all parties involved during patient surgery- outside vendors, first assists, anesthesia companies and neuro-monitoring company

  • Prior Auth

    2 months ago

    Atlanta, United States Prestige Staffing Full time

    JobID: 47409Onsite Prior Authorization SpecialistJob OverviewPosition requires utilization of clinical knowledge and excellent customer service skills to schedule appropriate procedures/surgeries per provider’s orders in the hospital, ambulatorysurgery center or in office places of service.Location: Smyrna, GAHours: Normal Business Hours3 month contract to...