Medical Authorization Coordinator

3 weeks ago


Loma Linda, California, United States Loma Linda University Medical Center Full time
Job Summary:

The Medical Authorization Coordinator plays a crucial role in the Internal Medicine Specialty Clinics, overseeing the authorization process for all services and procedures. This involves determining the appropriate locations for these services based on the patient's insurance and other requirements. The Coordinator is responsible for addressing authorization-related issues on behalf of the clinical and front office staff, including DME's and Stat authorizations. Additionally, they assist patients with referral and insurance issues to ensure timely authorization for office procedures.


Key Responsibilities:
  • Manage the authorization process for all services and procedures in the Internal Medicine Specialty Clinics.
  • Determine the appropriate locations for services based on patient insurance and requirements.
  • Address authorization-related issues on behalf of clinical and front office staff.
  • Assist patients with referral and insurance issues.
  • Manage job-related work queues to ensure authorized services are scheduled.

Requirements:
  • High School Diploma or GED required.
  • Minimum two years healthcare experience preferred.
  • Epic system experience preferred.

Knowledge and Skills:
  • Knowledge of current ICD and CPT coding systems required.
  • Knowledge of Epic Systems.
  • Essential Technical/Motor Skills.

Essential Interpersonal Skills:
  • Able to relate and communicate positively with others.
  • Work calmly and respond courteously under pressure.
  • Collaborate and accept direction.

Essential Mental Abilities:
  • Communicate effectively in English in person, in writing, and on the telephone.
  • Think critically.
  • Manage multiple assignments effectively.
  • Organize and prioritize workload.
  • Work well under pressure.
  • Problem solve.
  • Recall information with accuracy.
  • Pay close attention to detail.
  • Work independently with minimal supervision.

Essential Sensory Abilities:
  • Able to distinguish colors as necessary.
  • Hear sufficiently for general conversation in person and on the telephone.
  • Identify and distinguish various sounds associated with the workplace.
  • See adequately to read computer screens and written documents necessary to the position.

Licensures and Certifications:
  • Certified Coder preferred.


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