Authorization Coordinator - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Keck Medicine of USC•Manhattan Beach, CA

1d•$22 - $34

About The Position

The Authorization Coordinator will provide administrative and clerical support within a healthcare setting, including coordination of scheduling, documentation processing, and authorization activities. Serves as a point of contact for patients and external partners, delivering accurate information and facilitating communication among care teams. Ensures timely handling of records, referrals, and insurance-related processes while maintaining professionalism, confidentiality, and adherence to organizational policies. Essential Duties Demonstrates accuracy and thoroughness in entering patient information into computer systems and generating required documentation, including Requests for Authorization (RFA) and insurance-related forms. Maintains established departmental productivity and quality standards, including timeliness and accuracy of authorization processing, documentation, and insurance verification activities. Responsible for resolving discrepancies to minimize claim denials and delays in reimbursement. Processes new referrals and authorizations in a timely manner, including obtaining required outside medical records, verifying insurance, and obtaining authorization for visits and procedures. Ongoing follow-up responsibility on unresolved Requests for Authorizations (RFA). Coordination with billing/revenue cycle to ensure clean claim submission. Active communication with carriers and/or adjusters regarding treatment approval Supporting amended or additional authorization requests Assists with the clerical and scheduling needs of the department, including scanning, filing, and collection of supporting documentation for billing and patient records. Schedules office visits and follow-up appointments in a timely manner while accommodating patient needs and physician requests per established procedures and protocols. Provides patients, insurance companies, attorneys, and caregivers with appropriate information and guidance regarding scheduling, paperwork, authorizations, insurance benefits, and follow-up care. Addresses concerns of patients, insurance carriers, attorneys, and care team members via telephone, email, electronic messaging systems, and in person. Displays courtesy, compassion, kindness, honesty, and professionalism while interacting with patients, the public, and clinic personnel. Adheres to policies aimed to protect patient confidentiality. Responsible for providing administrative assistance and office support duties to help ensure efficient day-to-day operations. Demonstrates proactive interpersonal communication skills and maintains open lines of communication with management, physicians, multidisciplinary teams, insurance carriers, and other hospital personnel. Facilitates communication between patients, caregivers, and members of the care team, and communicates all changes in patient and case information to involved personnel. Performs other duties as assigned.

Requirements

High School or equivalent
Demonstrated ability in customer service, intake and scheduling.
Proven record of dealing with the public in a customer service role.
Familiarity with word processing, Microsoft Outlook, navigating the intranet, interpret on-line queries and preferably with Athena IDX, Cerner, and scheduling systems.
Must have excellent communication skills, including the ability to speak, read and write English proficiently.
Knowledge and understanding of insurance plans and types of coverage provided.
Demonstrated ability and knowledge in patients scheduling.
Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

Nice To Haves

Bachelor’s Degree In related field.
3-5 years Experience in administrative or customer service in medical office preferably in an ambulatory care environment.

Responsibilities

Demonstrates accuracy and thoroughness in entering patient information into computer systems and generating required documentation, including Requests for Authorization (RFA) and insurance-related forms.
Maintains established departmental productivity and quality standards, including timeliness and accuracy of authorization processing, documentation, and insurance verification activities.
Responsible for resolving discrepancies to minimize claim denials and delays in reimbursement.
Processes new referrals and authorizations in a timely manner, including obtaining required outside medical records, verifying insurance, and obtaining authorization for visits and procedures.
Ongoing follow-up responsibility on unresolved Requests for Authorizations (RFA).
Coordination with billing/revenue cycle to ensure clean claim submission.
Active communication with carriers and/or adjusters regarding treatment approval Supporting amended or additional authorization requests
Assists with the clerical and scheduling needs of the department, including scanning, filing, and collection of supporting documentation for billing and patient records.
Schedules office visits and follow-up appointments in a timely manner while accommodating patient needs and physician requests per established procedures and protocols.
Provides patients, insurance companies, attorneys, and caregivers with appropriate information and guidance regarding scheduling, paperwork, authorizations, insurance benefits, and follow-up care.
Addresses concerns of patients, insurance carriers, attorneys, and care team members via telephone, email, electronic messaging systems, and in person.
Displays courtesy, compassion, kindness, honesty, and professionalism while interacting with patients, the public, and clinic personnel.
Adheres to policies aimed to protect patient confidentiality.
Responsible for providing administrative assistance and office support duties to help ensure efficient day-to-day operations.
Demonstrates proactive interpersonal communication skills and maintains open lines of communication with management, physicians, multidisciplinary teams, insurance carriers, and other hospital personnel.
Facilitates communication between patients, caregivers, and members of the care team, and communicates all changes in patient and case information to involved personnel.
Performs other duties as assigned.