Authorization Coordinator Jobs

About The Position

Requirements

• Ability to function in a fast-paced, high-stress healthcare office environment.
• Ability to think clearly, respond quickly, and perform multiple tasks simultaneously in an environment that may have high traffic volume and stressful situations.
• Ability to maintain confidentiality and adhere to HIPAA guidelines and regulations.
• Ability to sit for long periods and to stand, bend, and stoop.
• Ability to travel between SDCC offices for support purposes, as needed.

Responsibilities

• Coordinate patient eligibility verification through various sources.
• Work with reception staff to ensure appropriate collection of copays, spend-down amounts, and self-pay fees.
• Handle inquiries and answer questions from patients, clinic staff, and insurance companies.
• Identify and resolve patient issues related to referrals, authorizations, and eligibility.
• Handle eligibility denials with insurance companies and patients.
• Communicate problems to the appropriate supervisor or manager.
• Maintain strict confidentiality and adhere to HIPAA guidelines and regulations.
• Answer management and coworker questions about eligibility, authorization, and referral procedures.
• Obtain authorizations and referrals for office services in a timely manner.
• Review appointment books before patient visits to verify eligibility with contracted insurance carriers.
• Enter and verify accurate patient demographic and insurance information.
• Notify participating departments promptly when a patient's insurance is not contracted with the practice.
• Respond to email and EHR messages and tasks in Epic throughout the day for all departments.
• Provide backup support for team members handling eligibility, referrals, and authorizations.
• Assist fellow team members as needed.
• Represent SDCC, its staff, and providers professionally, courteously, and respectfully on and off the property.
• Perform other duties as assigned or requested.
• Support the claims process through accurate and timely claim creation, follow-up, and correspondence.
• Assist with process clarification and development, credentialing, enrollment processing, reporting, and timely recording and reconciliation of patient-service payments.
• Travel between SDCC offices for support purposes as needed.