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Authorization Coordinator

4 months ago

Modesto, United States Golden Bear Physical Therapy Full time

Overview:
**Starting Hourly: $18.00 per hour**

**Golden Bear Physical Therapy, a member of Therapy Partners Group, has been the premier provider for outpatient orthopedics serving the Central Valley, El Dorado County, and surrounding communities for over 40 years.** We are known for providing the highest quality individualized care for our patients and our team of highly skilled physical therapists who are passionate about helping patients achieve their goals.

**Currently, we are looking for a full time Authorization Coordinator for our **305 Banner Ct location in Modesto.**

**Responsibilities**:
**ESSENTIAL ACCOUNTABILITIES**
- Monitors and manages authorization dashboard to identify and work outstanding authorizations
- Accurately submits authorizations to the payor/insurance on file with all required supporting documents
- Performs timely follow-up on submitted authorizations
- Inputs authorizations accurately into patient account when received
- Make necessary corrections and/or additions to current authorizations
- Communicate with referring MDs and treating therapist for missing or needed information to complete or submit authorization request.
- Provides timely communication with clinic/treating therapist when authorization is not on file for an upcoming visit or authorization is denied.
- Scan/Upload all forms completed and approved/denied authorizations into patient chart
- Maintains detailed notes in patients’ electronic records of all communications and actions taken
- Daily follow-up and completion of tasks as required by workflow assignments
- Attempt to obtain retro authorization as needed
- Maintains HIPAA Compliance of PHI
- Performs other duties that may be assigned

Qualifications:
**Knowledge, Skills, and Abilities**
- Thorough working knowledge Microsoft Office
- Ability to identify and problem solve
- Must be organized and able to manage multiple priorities
- Ability to communicate complex information in a well thought-out, easily understood manner, both orally and in writing in a variety of settings and styles
- Ability to communicate in an honest, direct, and professional manner, relating well to others to build rapport and effective relationships
- Ability to demonstrate active listening by asking clarifying questions, identify and share relevant information and solicit feedback from others and give and receive feedback objectively
- Ability to model a strong commitment to quality and cost-effective administration of TPG (Therapy Partners Group)
- Ability to identify and recommend improvements to assigned areas of functionality.

**Education and Experience**

**Education**: High school diploma. Related experience in healthcare may substitute for up to two years of the education requirement.

**Experience**: The individual selected must have a minimum of 2 years of experience in health care or a similar industry.

**Physical Requirements and Working Conditions**

Requires prolonged sitting, some walking, bending, stooping, reaching, and stretching. Requires hand-eye coordination and manual dexterity sufficient to operate a keyboard, mouse, photocopier, telephone, calculator, and other equipment. Requires normal range of hearing and eyesight to record, prepare and present reports.

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