Authorization Coordinator

Conifer Health SolutionsSan Antonio, TX

About The Position

The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and their office staff by obtaining facility authorizations for patients scheduled at the practice.

Requirements

  • High school education or equivalent.
  • At least one year in Scheduling in a healthcare environment is required.

Nice To Haves

  • Associates degree preferred

Responsibilities

  • Reviewing prior authorization requests and following an established process.
  • Managing a high call volume of prior authorization services.
  • Reviewing schedules with multiple patient's appointments, verifying or obtaining authorization and documenting authorization information.
  • Communicating authorizations and denials to ordering physicians.
  • Keeping records of schedules and authorization requests.
  • Maintaining a working knowledge of Managed Care Contracts as well as insurance requirements for authorizations, notifications or referrals.
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