Authorization Coordinator
4 weeks ago
EmergeOrtho is a leader in innovative, quality-focused comprehensive musculoskeletal care. As an Authorization Coordinator, you will play a vital role in reviewing insurance benefits and obtaining preauthorization for surgeries or procedures. This is an in-office position that requires strong communication and organizational skills.
Key Responsibilities:
- Make calls to insurance companies for necessary authorization of services for patient appointments.
- Utilize online services from insurance companies to obtain authorizations and/or gather information regarding patients' coverage for services.
- Process all items for review in the practice management system and assigned to the department and/or third party software.
- Handle all calls and/or written inquiries regarding appointment service authorizations through resolution.
- Research, correct and re-file any denied or rejected authorization to maximize reimbursement.
- Ensure authorizations are up to date, entering authorizations into EHR, scanning and linking authorizations to the patient's chart.
- Extensive scheduling coordination with specialist and ancillary departments is needed.
- Contact patient insurance provider to obtain authorization and confirm eligibility status and verify patient's insurance coverage to include deductibles, out of pocket maximums, etc.
- Document all information obtained in the practice management system to adequately relay said information to all staff and/or third party software.
Requirements:
- High school diploma or equivalent is required.
- A minimum of 3 to 5 years of experience in a medical office environment is preferred.
Qualifications and Experience:
- Strong customer service skills.
- Ability to positively interact with providers, staff, patients and their family members.
- Ability to work in a fast-paced environment.
- Ability to prioritize and handle multiple tasks and demands.
- Sound interpersonal skills.
- Strong organizational skills.
- Strong computer skills.
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