Authorization Coordinator – Infusion Pharmacy Position Available In Aiken, South Carolina
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Company:
Unclassified
Salary:
$45760
Job Description
Authorization Coordinator
- Infusion Pharmacy Vital Care of North Augusta North Augusta, SC Job Details Full-time From $22 an hour 2 days ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance 401(k) matching Life insurance Qualifications Microsoft Excel Insurance verification EHR systems Prior authorization management Mid-level Organizational skills EMR systems Computer skills Medical terminology Communication skills Full Job Description Vital Care of North Augusta is seeking a professional, detail-oriented, and highly motivated Authorization Coordinator to join our fast-paced specialty infusion pharmacy team.
This role requires exceptional organizational and communication skills as well as a comprehensive understanding of insurance policies and procedures. The coordinator acts as a liaison between healthcare providers, patients, and insurance companies to facilitate the authorization process efficiently.
Responsibilities:
- Review medical service requests and verify insurance coverage for patients.
- Determine the specific requirements for authorization based on insurance policies and medical procedures.
- Initiate the authorization process by submitting necessary documentation to insurance companies.
- Follow up on pending authorizations and ensure timely resolution to avoid delays in patient care.
- Communicate effectively with healthcare providers, patients, and insurance representatives to gather required information and resolve authorization issues.
- Serve as a point of contact for inquiries related to insurance authorizations and provide accurate information to stakeholders.
- Collaborate with healthcare teams to obtain additional documentation or clarification as needed for authorization requests.
- Maintain detailed records of authorization requests, approvals, and denials.
- Document all communication and interactions related to authorization processes accurately.
- Address authorization denials or discrepancies promptly and work with relevant parties to resolve issues.
- Investigate reasons for authorization delays or rejections and implement corrective actions to prevent recurrence.
- Escalate complex authorization cases or unresolved issues to management for further assistance or intervention.
Qualifications:
- Previous experience in insurance verification, authorization coordination, or healthcare administration preferred.
- Strong understanding of medical terminology, insurance policies, and reimbursement processes.
- Proficiency in using computer applications and software for documentation and data management.
- Detail-oriented mindset with the ability to multitask and prioritize tasks effectively in a fast-paced environment.
Job Type:
Full-time Pay:
From $22.00 per hour
Benefits:
401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance
Work Location:
In person