Authorization Coordinator

2 weeks ago

Upland, United States Premier Orthopaedic Trauma Specialists Full time

We are a busy Orthopaedic practice in Pomona looking for a full-time Authorization Coordinator to efficiently and accurately execute referrals. Familiarity with Orthopaedic is a plus

**Primary Job Duties**:

- Authorizations & Eligibility: must confirm patient eligibility and benefits with insurance plans. knowledge in prior authorization to streamline the needs for clinic and facility services.
- Knowledge in DME
- Obtain authorizations & Referrals, minimum three days ahead of clinic schedule.
- Maintain turnaround time compliance of the prior authorization process.
- Assist other staff and support in authorizations as needed.
- Knowledge of CPT and ICD-10 codes required.
- Maintains HIPAA Compliance
- Effectively answer incoming calls
- Knowledge with HMO,PPO's and insurance portals
- Work with Front Office staff, Back Office medical assistants and physicians with regards to any authorizations needed.

**Requirements**:
Must have at least one year Authorization Coordinator experience; Must know diagnostics, CPT codes.
Experience with prior authorization and experience with HMO authorizations.
Experience with an EMR/EHR system.
Experience with Excel spreadsheets.
Must have organizational skills and great phone etiquette

Pay: $17.00 - $20.00 per hour

Expected hours: 40 per week

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Weekly day range:

- Monday to Friday

**Experience**:

- Customer service: 1 year (preferred)
- Medical terminology: 1 year (preferred)
- Computer skills: 1 year (preferred)

Work Location: In person

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