Authorization Coordinator & Billing Coordinator

Richmond University Medical Center
$23 - $28Onsite

About The Position

The Authorization Coordinator & Patient Navigator is responsible for securing prior authorizations for procedures, medications, and other tests requiring insurance approval while also assisting patients in navigating barriers to care. This role involves coordinating insurance benefits, maintaining records of authorization requests, and providing support to patients to ensure adherence to their care plans.

Requirements

  • High School Diploma required.
  • Proficiency in Microsoft Word, Excel, and PowerPoint for data analysis and reporting.
  • Ability to work within an electronic medical record (EMR) and hospital clinical information system.
  • Strong organizational and communication skills.

Nice To Haves

  • Coding Certificate preferred but not required.

Responsibilities

  • Obtain prior authorizations for procedures, medications, and tests requiring insurance approval.
  • Maintain a database of authorization requests, tracking approvals and denials.
  • Work with patients in the outpatient clinic to identify and address barriers impacting care plan adherence.
  • Provide resources to assist with care coordination, including social services and insurance navigation.
  • Follow up with patients discharged from the Emergency Department or hospital to ensure continuity of care.
  • Complete and transmit required documentation to external care provider and insurance companies.
  • Maintain ongoing communication with patients.
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