Pre-Authorization Coordinator
1 week ago
About the Job:
We are looking for a highly organized Pre-Authorization Coordinator to join our team at Orthopaedic Solutions Management. In this role, you will coordinate with patients, staff, and physicians to ensure timely pre-authorizations and certifications of surgical procedures.
Responsibilities:
- Coordinate with patients to obtain necessary information for pre-authorizations.
- Verify benefit coverage, eligibility, and pre-authorizations for assigned surgical procedures.
- Communicate effectively with staff, secretaries, and physicians by phone or in writing.
- Identify missing medical necessity requirements and extract relevant clinical notes and diagnostic testing results.
- Establish good working relationships with primary care physicians' offices, insurance carriers, and hospitals.
Requirements:
- High school diploma required; 1 year experience in a medical environment with prior insurance verification and pre-authorizations experience.
- Proficient in Microsoft Office applications (Outlook, Excel, Word).
- Excellent verbal and written communication skills, critical thinking, and problem-solving abilities.
Benefits:
- Full-time opportunities available with room for career growth and advancement.
- Competitive salary range: $55,000 - $75,000 per year (estimated based on location and industry standards).
- Excellent job security and stability promoting an optimal work-life balance.
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