Insurance Pre-Authorization Coordinator

Summit Spine and Joint Centers • Lawrenceville, GA

11d

About The Position

Under general supervision of a licensed provider, as an Insurance Authorization Coordinator one must be detail oriented with excellent phone call diction, and outstanding customer service skills. We are seeking motivated individuals who can problem-solve and multitask as we are a fast-paced practice. Gain skills and knowledge of organization policies and procedures in support of the department. This job is a full-time, benefited position at Summit Spine & Joint Centers that reports to the Insurance Manager.

Requirements

• Must be personable and detail oriented as a representative of the practice while callers rely on proper information
• Excellent verbal and written skills for proper documentation of encounters.
• Minimum of 2 years' experience in an outpatient medical office, working in an Insurance Authorization or Pre-Authorization/Certification role.
• Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required
• Authorization portal experience required
• Experience in Pain Management Authorizations required
• EMR/EHR experience is required.

Nice To Haves

• Bilingual candidates are encouraged to apply

Responsibilities

• Obtain insurance authorizations for surgical procedures by using online applications or by contacting insurance company directly.
• Comfortable working in a growing organization and able to navigate change.
• Address insurance related patient concerns
• Self-motivated with the ability to multi-task and prioritize work in a fast-paced team environment
• Review schedule ahead of time to determine pre-certification and prior authorization requirements.
• Must be familiar with Medicare and Commercial Insurances.
• Maintain organized working files of all authorization requests and enter approved authorizations into the system.
• Coordinate and document all financial responsibilities related to patient deductibles, coinsurance, and copays owed at the time of service.
• Other Insurance duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed