Pediatric Patient Authorization Coordinator

4 weeks ago


Spring, United States Cole Health Full time

Medical Receptionist/Scheduler Experience Preferred

Location: 16835 Deer Creek Drive, Spring, TX 77379

Schedule: Can be flexible but typically 8am-5pm

Hourly Rate: $16-$17

The Medicaid Authorization Coordinator will obtain Medicaid authorizations in a timely manner. The Medicaid Authorization Coordinator reports to the Regional Director of Administration.

Operational Responsibility

On the 1st of each month process eligibility status for all Medicaid clients

Gather all necessary documentation and signatures on therapy evaluation reports in a timely manner for Medicaid authorization

Send authorization requests to Medicaid managed care and CHIPS Medicaid providers

Maintain file of all Medicaid authorizations

Accurately entering Medicaid authorization details in the patient database including therapy discipline, start and end dates of authorization, number of units or visits approved, and authorization number.

Contact appropriate personnel with detailed information on Medicaid authorization received including therapy discipline, start and end dates of authorization, number of units or visits approved, and authorization number. Communicate with Patient Schedulers when a client must go on hold due to lack of Medicaid authorization. Communicate to any involved Front Desk Receptionists any lack/change of Medicaid coverage for clients at the beginning of the month.

Shred or file copy of patient reports and documents once authorization is received.

Abide by HIPAA compliance regulations and guidelines when handling patient information

Other Responsibilities

Carry out any other projects assigned by the Regional Director of Administration.

Qualifications

Team Player

Accuracy, Dependability, Friendly, Outgoing. Polite, Multitask

Bilingual Preferred

Microsoft Office - Intermediate Level

High School Diploma or equivalent



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