Insurance Verification Specialist

SOUTHERN SPORTS MEDICINE PARTNERS LLC•Warner Robins, GA

6d•Onsite

About The Position

PartnerCare is looking for a wonderful teammate to join our team as an Authorizations Coordinator! We offer competitive wages, benefits that protect you and your family, and a 401(k) plan with a match to help you prepare for your future. We are also dedicated to building the work environment where our people grow and thrive. We want you to be a fan of where you work! Our mission is to deliver comprehensive care to help musculoskeletal, and pain management patients live their best lives possible. We do this by working as a team, striving to embody our values. With the right talent and strategy, we will continue to raise the bar in our industry, living our mission and delivering best-in-class services to our partners. We believe we will be successful in our mission by living by a set of values we hold in high regard that drive what we do every day. The values we believe in and that you can count on are: Compassion. We genuinely care for the well-being of our patients and one another. We treat others with dignity, kindness, and respect. Excellence. We are a performance-driven organization committed to excellence in service and patient outcomes. We work to be the best version of ourselves each day. Integrity. We value honesty and transparency. We openly communicate in pursuit of truth. We build our reputation and positively impact our industry by doing what is right. Teamwork. We are one team with a shared vision of success. We work collaboratively to deliver on our promise to our partners and our patients. Accountability. We are accountable to each of our stakeholders for our decisions, actions, and results. Growth Mindset. We seek to constantly grow and evolve, being adaptive to the changing market and responsive to our customer expectations. We invest in the talents of our team, providing pathways for personal and professional growth. Together, we will become the most trusted musculoskeletal and pain management organization. Our organization will grow rapidly, and we will maintain a culture of high performance. Success will be the result of the team.

Requirements

High school diploma
Previous work experience preferred.
Current ACLS and/or CPR certification
Prolonged periods of sitting at a desk and working on a computer.
Must be able to lift up to 15 pounds at times.
Walking, Standing, Bending, Reaching, and Pulling

Nice To Haves

The right person for this role will delight in providing great customer service to patients and providers, will have a curious mind that always looks for a way to improve, a strong attention to detail and prioritization skills, and be compassionate for patients experiencing chronic and/or acute pain.
To be successful in this role, the person will be a great team member, working together with others, kind and friendly, open to feedback for growth, and a role model of our values.
We prefer at least two years of experience but are willing to train newer teammates with the right focus on patient care, service, and teamwork.

Responsibilities

Review chart documentation to ensure patient meets medical policy guidelines.
Prioritize incoming authorization requests according to urgency.
Obtain authorization via payer website or by phone and follow up regularly on pending cases.
Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations.
Initiate appeals for denied authorizations.
Respond to clinic questions regarding payer medical policy guidelines.
Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order.
Contact patients to discuss authorization status.
Scan all documentation into patients chart.
Comply with HIPAA compliance policies.
Other duties as assigned.