Authorizations Coordinator

Prior Authorizations Coordinator

We are looking for someone who can handle a fast-paced, family environment!

The ideal candidate will play a critical role in ensuring seamless and compliant authorization and referral processes, contributing to optimized patient care and operational efficiency. This position requires strong attention to detail, excellent communication skills, and a collaborative approach to problem-solving.

This role in the billing department is mainly responsible for coordinating all authorizations for the practice but will have more billing duties beyond this as listed below. We look forward to chatting with you and seeing if we are a fit!

JOB DESCRIPTION

Summary:

The billing department is responsible for performing all necessary functions of insurance billing, Patient collections, electronic billing and paper statement billing, including sending out statements once a month and following and cleaning up any denials.

Essential Functions

Uses internal processes to assess, plan and provide follow-up with all accounts receivable collections, including but not limited to all insurance and patient billing.

• Work with billing team to process pre-authorizations.
  
• Insurance verificationand Eligibility

• Work denial queue daily
  
• Review denial claims for re-bill/ re-process
• Call insurance companies for claims status on past due accounts
  
• Follow-up with returned statements
  
• Call patient before accounts go to collection to make final financial arrangements.
• Manage calls from the patient regarding billing questions and insurance changes.