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Insurance Authorization Coordinator

2 months ago

Solon, Ohio, United States Balance Solutions Physical Thearpy Inc. Full time
Insurance Authorization Specialist

Balance Solutions Physical Therapy Inc. is seeking a highly skilled Insurance Authorization Specialist to join our team. As a key member of our front office staff, you will play a vital role in ensuring the efficiency and accuracy of our billing process.

Responsibilities:
  • Perform daily insurance verification, medical benefit investigation, and prior authorization activities to ensure timely and accurate reimbursement for services.
  • Review requisitions to determine billing information, insurance carrier, and insurance requirements to determine if prior authorization is required.
  • Accurately complete necessary paperwork to submit prior authorization requests to insurance via phone, website, software, or fax.
  • Timely follow-up with insurance carriers on pending prior authorization requests.
  • Maintain current knowledge of payer policies and requirements and act as a resource to team members and patients.
  • Monitor schedules for insurance coverage changes.
  • Establish positive rapport with employees and referring physicians utilizing written and verbal communication methods.
  • Greet and develop patient relationships, ensuring a positive experience with every visit.
  • Schedule new and existing patients.
  • Complete patient intakes.
  • Enter patient demographic and insurance data.
  • Maintain HIPAA Compliance.
  • Perform other administrative tasks as needed.
Requirements:
  • Ability to review patient charts to ensure completeness and accuracy of information.
  • Strong organizational skills with a keen attention to detail.
  • Ability to work efficiently and effectively under tight deadlines and high work volume.
  • Advanced knowledge of medical billing and coding.
  • Ability to assist consistently with patient and therapist requests and act as a resource regarding insurance and authorization requirements.
  • Excellent problem-solving skills.
  • Possess at least one year of experience in a clinical setting.
  • Knowledge of Medicare/Medicaid and major insurance carrier's guidelines.
  • Working knowledge of ICD-9-10 medical coding and billing and medical terminology.
  • High school graduate or equivalent.
  • Ability to work as a team member as well as independently.
  • Strong interpersonal and communication skills.
Benefits:
  • Generous starting salary.
  • Medical & dental benefits with Medical Mutual.
  • Health Savings Account.
  • Paid vacation time.
  • Growth and bonus opportunities.