Therapy Insurance Specialist
3 days ago
Orthopedic Centers of Colorado is seeking a highly organized and detail-oriented Authorization and Insurance Coordinator to join our team. As a key member of our authorization department, you will be responsible for obtaining authorizations for physical and occupational therapy and other ancillaries, interacting with medical staff and patients, and ensuring efficient communication with insurance companies.
Key Responsibilities:
- Monitor Therapy EMR and navigate payer authorization sites to authorize scheduled procedures, verify eligibility and benefits, and document work processes as required.
- Review patient medical history and insurance coverage for approval, and coordinate processes and route all paperwork as required to meet physician and regulatory requirements.
- Input new patient information and update information in our system, and document in EHR prior authorizations information obtained.
- Assist with clerical tasks as needed, and recognize and respond appropriately to urgent/emergent situations.
- Follow all written protocols and procedures of the clinic, including the OCC handbook and all department policy and procedures.
Requirements:
- Medical terminology, ICD-10 and CPT coding knowledge.
- Knowledge of contracted insurance plans and procedures.
- Solid computer and phone skills, strong organizational and interpersonal skills, and ability to prioritize responsibilities and multi-task efficiently and effectively.
- Adaptability to different plan and lien requirements.
Working Conditions:
- Typical business office environment, with possibility of local travel.
- Constant viewing of computer monitor, mousing and typing, frequent standing, walking and sitting, and occasional lifting and/or moving up to 50 pounds.
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