PreAuthorization Coordinator (40 hours per week) #3418
About The Position
The Preauthorization Coordinator is responsible and accountable for managing preauthorizations/referrals for medical and surgical specialist appointments and is the resource person for medical staff and patients to ensure proper insurance coverage requirements are met and correct documentation is completed. This position will be the patient advocate for facilitating specialist appointments and providing exceptional customer service in the referral process. The Preauthorization Coordinator provides support calls to ensure timely, efficient communication between patients and referral provider offices allowing for a smooth coordination of the patient between the primary care provider and specialists. The Preauthorization Coordinator is also responsible for obtaining prior authorizations for procedures ordered by providers.
Requirements
- High School Diploma or equivalent
- Proficient with Medical Terminology
- One year or more of hands-on healthcare experience in a clinical setting or a combination of customer service and healthcare experience.
- Experience with Electronic Medical Records and referrals.
- Familiarity with ICD-10 or CPT coding.
- Experience obtaining insurance authorizations.
- Excellent communication skills, grammar, punctuation, and style.
- Ability to use the following equipment: personal computer, FAX machine, photocopier.
- Excellent communication skills.
- Ability to work independently.
- Resourceful; Is aware and utilizes the resources that are available.
- Ability to multitask and handle stressful situations in a calm manner.
- Strong computer skills.
- Reception and/or switchboard experience.
Nice To Haves
- Bachelor's Degree in Healthcare or Business Administration.
- Proficient with Microsoft Office applications.
Responsibilities
- Managing preauthorizations/referrals for medical and surgical specialist appointments.
- Ensuring proper insurance coverage requirements are met and correct documentation is completed.
- Facilitating specialist appointments and providing exceptional customer service in the referral process.
- Providing support calls to ensure timely, efficient communication between patients and referral provider offices.
- Obtaining prior authorizations for procedures ordered by providers.
Benefits
- An extensive benefits package to meet the needs of our employees and families.
- A supportive and balanced work environment that encourages professional growth and personal well-being.
- Focus on employee health and satisfaction.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
101-250 employees
