bamboohr
Insurance Authorization and Eligibility Coordinator
Greater Maryland Pain Management
Odenton, USA
Full-time
Mid
Onsite
Discovered 1 months ago
Full Job Posting
- This position is responsible for obtaining and completing all insurance pre-certifications and authorizations as required for various clinical procedures.
- Determines necessity for pre-certification and coordinates with insurance companies, patients and clinical staff to obtain information.
- Maintains complete and accurate documentation in patient charts.
- Develops and maintains effective relations with insurance companies, physicians and medical office staff.
- Must have proficient knowledge of insurance requirements, medical/clinical terminology, medical necessity associated with various clinical procedure codes and certification/referral work flow.
- This position requires the ability to work with minimal supervision.
- Monitor new patient report and maintain organized list with status of pre-certification process.
- Verify insurance eligibility and benefits via phone and/or internet access. Update insurance policy information.
- Check insurance payment policy for scheduled procedures and obtain prior authorization when required.
- Verify receipt of all necessary pre-authorization documents prior to procedure
- Communicate effectively with the facility in which the procedure will be performed as needed.
- Assign appropriate ICD and CPT codes pre-operatively based on documentation and booking slips.
- Notify primary care physician for managed care plans that require PCP authorization.
- Serve as a resource on insurance, billing and customer service for reception.
- Perform other duties or functions as assigned
About Greater Maryland Pain Management
Physician Practices & Outpatient Clinics17 employeesFounded 2013
Private Maryland pain-management practice providing personalized, non-surgical care for patients with chronic and acute pain.
Visit company websiteJobs and hiring trendsApply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
More jobs at Greater Maryland Pain Management
Medical Practice Marketing Representative
Odenton, USA
Discovered 2 weeks agoFull-time
Administrative & Operations Assistant
Odenton, USA
Discovered 2 weeks agoFull-time
Call Center Representative
Odenton, USA
Discovered 2 weeks agoFull-time
Registered Nurse
Odenton, USA
Discovered 1 months agoPart-time
Medical Assistant
Odenton, USA
Discovered 1 months agoFull-time
Medical Assistant (Southern Maryland)
Leonardtown, USA
Discovered 1 months agoFull-time
Physician Assistant or Nurse Practitioner
Leonardtown, USA
Discovered 1 months agoFull-time
Medical Billing and AR Specialist
Odenton, USA
Discovered 1 months agoFull-time