Authorization Coordinator
3 weeks ago
Key Responsibilities:
- Obtain all necessary authorizations in accordance with established guidelines
- Verify eligibility and obtain benefit information
- Generate letters for authorizations
- Respond to Member Services and Call Center inquiries
- Resolve identified authorization issues
Requirements:
- Previous experience with computer registration and registration scheduling system
- Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties
- Must demonstrate general understanding of medical terminology
- Must demonstrate customer service skills appropriate to the job
- Must be able to travel to off-site physician practices
- Minimum one (1) year recent experience (within past two (2) years) registering patients in a hospital or clinic, working as a Medical Assistant, or working in medical billing
- General knowledge of ICD9 and CPT codes
- Excellent written and verbal communication skills in English
- Ability to work weekends, holidays, and evenings
- Ability to maintain a work pace appropriate to the workload
- Ability to interpret and understand various medical insurance plans and make accurate determinations regarding coverage
- Ability to establish and maintain effective working relationships across the Health System
Preferred Qualifications:
- Knowledge of University and medical center organizations, policies, procedures, and forms
- Familiarity of Joint Commission standards
- Experience with Epic
- Demonstrated experience with authorization process and surgical scheduling
- Bilingual skill in Spanish or Vietnamese or Chinese
Conditions of Employment:
- Background Check and Live Scan
- Legal Right to Work in the United States
- Vaccination Policies
- Smoking and Tobacco Policy
- Drug Free Environment
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