Insurance Pre-Authorization Coordinator at Summit Spine and Joint Centers — Lawrenceville, USA | Base Career

Full Job Posting

Obtain insurance authorizations for surgical procedures by using online applications or by contacting insurance company directly.
Comfortable working in a growing organization and able to navigate change.
Address insurance related patient concerns
Self-motivated with the ability to multi-task and prioritize work in a fast-paced team environment
Review schedule ahead of time to determine pre-certification and prior authorization requirements.
Must be familiar with Medicare and Commercial Insurances.
Maintain organized working files of all authorization requests and enter approved authorizations into the system.
Coordinate and document all financial responsibilities related to patient deductibles, coinsurance, and copays owed at the time of service.
Other Insurance duties as assigned
Must be personable and detail oriented as a representative of the practice while callers rely on proper information
Excellent verbal and written skills for proper documentation of encounters.
Bilingual candidates are encouraged to apply
Minimum of 2 years' experience in an outpatient medical office, working in an Insurance Authorization or Pre-Authorization/Certification role.
Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required
Authorization portal experience required
Experience in Pain Management Authorizations required
EMR/EHR experience is required.

Insurance Pre-Authorization Coordinator