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Authorization Coordinator

2 months ago

Alexandria, Louisiana, United States Mid-State Orthopaedic and Sports Medicin Full time
Job Overview

The Precert Specialist is a vital role within our organization, reporting directly to the supervising physician. This position demands commitment and diligence to ensure seamless operations.

Key Responsibilities:

  • Respond to patient inquiries, providing effective resolutions to any challenges that may occur.
  • Perform administrative tasks such as filing, typing, and scanning with efficiency.
  • Coordinate scheduling for tests ordered by the physician, ensuring all necessary authorizations are obtained (including CT scans, MRIs, Bone Scans, and more).
  • Manage the scheduling of surgeries or procedures, which involves obtaining patient consent, entering details into the physician's surgery log, and coordinating with external facilities.
  • Handle incoming faxes related to physical therapy requests, home health services, and other correspondence.
  • Learn and apply appropriate CPT codes to assist with surgical billing and authorizations, ensuring accurate coding and submission to the insurance department.
  • Authorize insurance for various procedures and tests, including worker's compensation and specialty treatments.
  • Conduct chart audits and complete necessary disability forms.
  • Maintain accuracy in the physician's schedule according to their preferences.
  • Ensure patients have all required clearances, lab results, and imaging prior to surgery, facilitating timely communication with external facilities.
  • Schedule appointments for both returning and new patients, managing a high volume of calls effectively.
  • Process medication requests and refills as directed by the physician.
  • Coordinate depositions for the physician, ensuring proper documentation and payment processes are followed.
  • Establish and maintain positive relationships with external facilities to ensure smooth transitions for patient care.
  • Support team members and demonstrate a willingness to assist when needed.
  • Engage in cross-training opportunities to enhance skills and knowledge within the organization.
  • Embrace additional responsibilities as required.

Interpersonal Skills:

  • Foster positive relationships with patients, families, colleagues, and visitors while maintaining confidentiality.
  • Share information promptly and appropriately.
  • Project a professional image for the clinic at all times.
  • Collaborate effectively as part of a team.
  • Strive to enhance customer satisfaction continuously.

Performance Expectations:

  • Deliver quality service regardless of patient load fluctuations.
  • Anticipate needs and complete tasks proactively.
  • Participate in initiatives aimed at identifying improvement opportunities.
  • Arrange coverage or backup when necessary, ensuring substitutes are well-trained.
  • Organize and complete assigned tasks efficiently.
  • Engage in professional development activities.
  • Demonstrate proficiency in typing, medical terminology, organizational skills, multitasking, and time management.

Required Skills and Abilities:

  • Ability to work collaboratively within a team environment.
  • Capability to prioritize tasks and maintain composure in high-pressure situations.
  • Proven reliability and longevity in previous employment.
  • Strong communication skills, both verbal and written.
  • Proficient computer skills.
  • Effective problem-solving abilities.