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Insurance Pre-Authorization Coordinator

Summit Spine and Joint Centers
Lawrenceville, USA
Full-time
Mid Level
Onsite
Discovered 1 months ago

Full Job Posting

  • Obtain insurance authorizations for surgical procedures by using online applications or by contacting insurance company directly.
  • Comfortable working in a growing organization and able to navigate change.
  • Address insurance related patient concerns
  • Self-motivated with the ability to multi-task and prioritize work in a fast-paced team environment
  • Review schedule ahead of time to determine pre-certification and prior authorization requirements.
  • Must be familiar with Medicare and Commercial Insurances.
  • Maintain organized working files of all authorization requests and enter approved authorizations into the system.
  • Coordinate and document all financial responsibilities related to patient deductibles, coinsurance, and copays owed at the time of service.
  • Other Insurance duties as assigned
  • Must be personable and detail oriented as a representative of the practice while callers rely on proper information
  • Excellent verbal and written skills for proper documentation of encounters.
  • Bilingual candidates are encouraged to apply
  • Minimum of 2 years' experience in an outpatient medical office, working in an Insurance Authorization or Pre-Authorization/Certification role.
  • Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required
  • Authorization portal experience required
  • Experience in Pain Management Authorizations required
  • EMR/EHR experience is required.

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