ALASKA HEART INSTITUTE-posted 1 day ago
$20 - $29/Yr
Full-time • Entry Level
Onsite • Anchorage, AK
251-500 employees

This nonexempt position is responsible for obtaining pre-authorization for all Office Visits, Cardiac device services, Imaging, In-Patient, Out- Patient, Catheterization Lab, and ASC (Ambulatory Surgery Center) procedures. This job requires the application and interpretation of insurance medical and payment policies and procedures. The individual must act as an on-site liaison for all departments, referring providers, insurance carriers, and patients for all eligibility and pre-authorization/certification functions. Communicating coverage/benefit determination to patient either in-person or via phone.

  • Responsible for obtaining prior-authorization for all office visits, cardiac device services, imaging, In-Patient/Out- Patient procedures and services, all ASC (Ambulatory Surgery Center) services for all payer types in a timely manner.
  • Collaborates with all team members and departments, including external providers, to ensure all patient demographic information and clinical notes are acquired prior to initiation of the prior-authorization process.
  • Acts as on-site liaison for the ancillary and clinical departments to internal and external referring providers, insurance carriers, as well as patients
  • Review patient eligibility, update patient demographics, document patient’s preferred facility.
  • Minimum: One year of experience in medical office with emphasis in commercial and government prior-authorization requirements.
  • Minimum: High school diploma or equivalent
  • Some college preferred.
  • Preferred Certificate/License: Certified Professional Coder (CPC) required from AAPC
  • Medical
  • Dental
  • Vision
  • Colonial Life Elective Benefits
  • Life Insurance
  • Profit Sharing 401K
  • HSA
  • FSA
  • Employee Assistance Program
  • Wellness Program
  • PTO- starting at up to 5.84 hours per pay period (increases with years of service)
  • 8 paid holidays per year
  • FMLA
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