Authorization Coordinator

Advanced Spine and Pain•Phoenix, AZ

1d•Onsite

About The Position

Advanced Spine and Pain (ASAP) is a comprehensive interventional pain practice with twelve locations across Arizona. We pride ourselves on individualized patient treatment programs driven by an outcomes program developed by our own physicians. Our physicians are board-certified specialists, and our non-physician providers typically have years of experience in interventional pain management ASAP is committed to whole-patient care, having launched an integrated behavioral health program at our Phoenix locations. This collaboration makes us the first interventional pain management group in the state to implement a behavioral health integration program at our practices. Innovative Treatments : We offer cutting-edge, minimally-invasive procedures designed to provide effective pain relief with limited downtime. Collaborative Environment : Our team of top specialists works together to provide the best medical care and experience to our patients. Patient-Centered Care : We focus on individualized treatment plans to ensure optimal outcomes for our patients. Employee Benefits We value our employees and offer a comprehensive benefits package, including: Paid Time Off (PTO) Sick Time 401(k) Retirement Plan Medical, Dental, and Vision Insurance Seven Paid Holidays Current Opportunities We are currently seeking dedicated professionals to join our team in various roles across our Arizona locations. Whether you're a seasoned healthcare provider or looking to start your career in pain management, ASAP offers opportunities for growth and development. Position Information Apply Today If you're passionate about providing exceptional patient care and want to be part of a pioneering team in pain management, we encourage you to apply. GENERAL STATEMENT OF DUTIES Responsible for processing new orders, and obtaining authorizations, including prior authorizations for surgeries, imaging, durable medical equipment (DME), and procedures—in a timely manner.

Requirements

High school diploma / GED Certification
Three to five years of work experience in a medical office setting
Two or more years of experience submitting prior authorizations
Three or more years of experience working with medical insurance carriers
Working knowledge of insurance processes and prior authorization requirements for imaging, DME, and procedures
Strong office and computer skills; experience with paperless workflows
Prior use of practice management and EMR programs
Skilled communicator with problem-solving abilities
Strong organizational skills and attention to detail
Ability to interact effectively with management, physicians, and teammates
Ability to meet deadlines in a fast-paced environment and prioritize tasks
Ability to maintain confidentiality and escalate relevant information when necessary

Responsibilities

Process and obtain prior authorizations for imaging, DME, and procedures, ensuring compliance with payer requirements.
Maintain physicians’ procedure schedules and monitor upcoming schedules for accuracy.
Pull and process new procedure orders; follow up on pending orders.
Schedule and maintain full schedules to ensure maximum clinic or facility capacity.
Communicate to leadership when schedules are less than full to optimize clinic time and staff.
Maintain proper documentation within the EMR regarding all authorizations and their details.
Load authorizations into the EMR and attach to appointments for claim processing.
Make outbound calls to patients to schedule procedures and provide updates on authorization status.
Manage and upkeep procedure folders, reports, and related documentation.
Notify and follow up with patients upon receiving insurance denials; provide appropriate options.
Answer inbound phone calls and return voicemails within 2 hours.
Schedule appointments accurately and appropriately.
Communicate professionally with patients, insurance carriers, and third parties.
Update insurance carriers and request/load referrals as needed.
Upload incoming records/authorizations into patient charts.
Maintain HIPAA compliance at all times.
Request or follow up on medical clearances as needed.
Review and work through assigned billing tasks utilizing Asana in a timely manner.
Perform all other duties as assigned.