Authorization Coordinator

Phoenix Heart PLLC•Glendale, AZ

About The Position

The Authorization Coordinator is a fast-paced position that requires exceptional attention to detail and a thorough understanding of insurance plans, networks, and authorization requirements. The Authorization Coordinator secures prior authorization for diagnostic tests, verifies insurance eligibility, and benefits and checks for certain medical necessity requirements prior to the patient appointment.

Requirements

2+ years of related experience and/or training
Must have in-depth knowledge and understanding of medical health insurance
Must have Diagnostic Authorization testing experience
Must have the ability to effectively deal with stressful situations in a calm and productive manner, while maintaining the highest degree of customer satisfaction
Professional attitude
Ability to solve problems, prioritize and multi-task in a deadline driven environment
Ability to make independent decisions regarding matters of significance
Work with little to no supervision
Ability to work outside core business hours as needed
Able to work in a team environment and interact positively with team members
Goal oriented, with excellent time management and organizational skills
Excellent interpersonal skills, with ability to interact effectively and work efficiently with people at all levels in an organization internally and externally
Excellent verbal & written communication skills
Keenly attentive to detail
Ability to keep sensitive information confidential
High level of proficiency with PC based software programs

Nice To Haves

Working knowledge of cardiology preferred, but not necessary

Responsibilities

Reviewing current appointment schedule for current date through five days out and the add-on schedule daily for authorizations/referrals needed
Verifying patient eligibility and benefits
Contacting referring physicians, PCP’s or health plans for paper referrals and authorizations.
Contacting patients for proper insurance if needed.
Handling calls from check in desk or patients regarding referral/authorization questions
Update patient accounts with appropriate information
Add referrals/authorization information to specific dates of service before claim filing
Assist billing personnel with questions regarding eligibility, authorizations and referrals
Review EMR desktop, email, fax and interoffice communication throughout the day. Responds to all within 24 hours of receipt
Inform manager of difficulties in obtaining authorizations/referrals from insurance carriers or physician offices
Informs manager of any changes made by insurance carriers and/or physician offices in obtaining authorizations and/or referrals
Participates in the referral/authorization education of clinic personnel as it relates to their positions
Notifies Front Office manager when Phoenix Heart has not received authorization or required referrals prior to patient’s visit
Prior to leaving for the day, review add-on schedule to see what is needed for the next day
Scan referrals, authorizations and other insurance related paperwork to import into patient’s chart under the paperclip
Perform concise and thorough documentation in patient’s charts
Participation in new hire/annual training is a condition of employment
Other tasks as assigned