Authorization coordinator/Unit Secretary

Sturdy Memorial Hospital•Attleboro, MA

1d•$17 - $25

About The Position

The Authorization Coordinator is responsible for securing prior authorizations from insurance companies for interventional pain management and operating room procedures. This role also obtains patient referrals from primary care offices and verifies that referrals remain active throughout the course of care. The Authorization Coordinator works with multiple insurance carriers and vendors, staying current on prior authorization requirements and process changes. They communicate with the pain provider’s billing company regarding approved or denied authorizations and referrals, and collaborate with Registration, Patient Accounts, and other departments to resolve authorization-related issues. Additionally, the Authorization Coordinator ensures patient insurance coverage is active for the scheduled date of service and provides front desk coverage on a rotating basis as needed. The Authorization Coordinator is responsible for securing prior authorizations from insurance companies for interventional pain management and operating room procedures. This role also obtains patient referrals from primary care offices and verifies that referrals remain active throughout the course of care. The Authorization Coordinator works with multiple insurance carriers and vendors, staying current on prior authorization requirements and process changes. They communicate with the pain provider’s billing company regarding approved or denied authorizations and referrals, and collaborate with Registration, Patient Accounts, and other departments to resolve authorization-related issues. Additionally, the Authorization Coordinator ensures patient insurance coverage is active for the scheduled date of service and provides front desk coverage on a rotating basis as needed.

Requirements

High school graduate or equivalent. Degree in Business or a related discipline is preferred
Minimum of 2-3 years of experience as a secretary in fast paced clinic setting.
Excellent interpersonal skills and fosters positive relationships across work environment.
Demonstrates proficiency in communication skills (both verbal and written).
Demonstrates ability to efficiently, effectively and professional multi-task in a dynamic environment.

Nice To Haves

Certificate in insurance authorization/verification preferred.
Command of verbal and written English
Must possess excellent interpersonal skills and adaptability, creating a favorable department image and associate work environment.
Visibly demonstrate commitment to customer relations
Continuously invested in continuous Quality Improvement and preventing errors from reaching the patient
Engaged in all patient satisfaction initiatives
Must possess excellent computer skills which include Email, Outlook, Microsoft Office (Word, Excel and PowerPoint)

Responsibilities

Manage authorization and referral requirements for scheduled procedures specific to each patient’s insurance.
Obtain authorizations and referrals using defined best practices, including internet applications.
Maintain a master tracker for all pain procedures and operating room cases that is accessible, accurate, and easy to interpret.
Utilize the Electronic Health Record (EHR ) and hospital reporting platforms to support organized and efficient workflows.
Respond to messages and emails promptly and professionally.
Communicate with patients regarding their referrals, authorizations, and appointments.
Foster effective communication and collaboration within and across departments.
Monitor pending and denied cases and provide timely status updates.
Assist with scheduling for new and established patients.
Perform administrative office duties, including phone and voicemail management, documentation in the EHR, and route calls to the appropriate office pool.
Maintain competence in check-in and check-out workflows and provide support as needed.
Consistently treats patients, colleagues, and visitors with dignity and respect, while being sensitive to the differing needs of all age groups, backgrounds, characteristics, and cultures.
Must have the ability to perform the essential functions of the position, including required work hours, locations, and physical demands, without posing a direct threat to the health and safety of themselves or other individuals in the workplace, and with or without reasonable accommodation.