Authorization Coordinator Jobs

About The Position

Requirements

• High school diploma or equivalent.
• Minimum of one year of experience in a medical office or healthcare setting.
• Strong communication and follow-up skills.
• Ability to manage multiple patients and priorities in a fast-paced environment.
• Proficiency with Microsoft Office, including Word, Outlook, and Excel.
• Comfortable working with electronic medical records (EMR).

Nice To Haves

• Advanced Microsoft Excel skills, including spreadsheets, sorting, filtering, formulas, and tracking reports.
• Previous experience coordinating surgeries, referrals, prior authorizations, or medical clearances.
• Experience working with insurance verification and authorization processes.
• Knowledge of Athenahealth or similar EMR systems.
• Experience in pain management, orthopedics, neurosurgery, or an ambulatory surgery center.

Responsibilities

• Manage each patient's surgical pathway from scheduling through procedure completion.
• Track and monitor all required pre-operative clearances, including medical, cardiac, and specialty clearances.
• Coordinate and follow up on insurance authorizations to ensure timely approval prior to surgery.
• Monitor completion of laboratory work, imaging, EKGs, and other required testing.
• Maintain detailed tracking spreadsheets and electronic records to ensure no prerequisite is missed.
• Communicate regularly with patients regarding outstanding requirements, appointment reminders, and surgery preparation.
• Collaborate with physician offices, surgery centers, hospitals, primary care providers, specialists, and insurance companies to obtain required documentation.
• Identify patients who have completed all prerequisites and can be moved into earlier surgical openings.
• Continuously review surgical schedules to maximize provider utilization and reduce unused operating room time.
• Ensure all required documentation is complete, accurate, and available prior to the procedure date.
• Document all communications and updates within the electronic medical record.
• Resolve scheduling issues quickly while providing exceptional customer service.
• Maintain strict HIPAA compliance and confidentiality.
• Assist with additional administrative and operational projects as assigned.

Benefits

• Comprehensive Health, Dental, and Vision Insurance
• Health Savings Account (HSA) with Employer Contribution
• Company-Paid Life Insurance
• Paid Time Off (PTO)
• 401(k) Retirement Plan with Company Match
• Employee Assistance Program
• Professional Growth Opportunities