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Insurance Authorization Coordinator
2 months ago
Manhattan Specialty Care is seeking a dedicated Pre-Authorization Specialist to enhance our billing department. We are in search of an individual who is reliable, embraces challenges, and consistently meets deadlines.
Key Responsibilities:
- Manage insurance verifications, eligibility checks, and prior authorizations for services that require referrals, including surgical procedures, consultations, and diagnostic tests.
- Ensure accurate documentation of patient demographics and insurance information.
- Verify pre-certifications and secure them when necessary.
- If pre-certification is not secured for the following day, inform the referring physician's office and reach out to the patient to discuss rescheduling options.
- Confirm patient insurance eligibility and acquire necessary pre-authorization numbers before appointment dates.
- Document and communicate effectively with clinical staff, physicians, administrators, and patients regarding any insurance-related issues or discrepancies.
- Contact patients to obtain updated insurance information or rectify any discrepancies.
- Scan and upload documentation into the EMR system as required.
- Input and retrieve authorizations/pre-certifications through online systems.
- Prepare written correspondence as needed based on operational requirements.
- Share relevant information with colleagues and staff as appropriate.
Qualifications:
- Minimum of 2 years of experience in medical billing or healthcare administration.
- Goal-oriented with a strong focus on achieving objectives.
- Ability to interpret and analyze reports effectively.
- Proven capability to work collaboratively within a team environment.
- Strong organizational skills with the ability to manage multiple tasks while meeting deadlines.
