Prior Authorization Coordinator for Cardiology Position Available In Orange, Florida

Prior Authorization Coordinator for Cardiology Florida Cardiology, PA Winter Park, FL 32792 We are looking for an Authorization Specialist to join our Cardiology Centralized team. In this role, you are responsible to complete authorizations and referrals for our cardiology testing services. You will be checking insurance eligibility and medical necessity for testing and procedures as outlined by the insurances. You also monitor the schedule for our add-on patients, ensuring there are no conflicts and that we have the prior authorization we need to move forward with their appointment or procedure. The person in this position is responsible for monitoring incoming patient orders and gathering the correct information needed to obtain the prior authorization of patient appointments You must complete the function of this role in a timely and accurate manor in order to ensure the satisfaction of our patients and the payments of our claims. . Job Duties and Responsibilities

• Handles the verification of insurance benefits for our patients
• Regularly calls insurance companies to follow up
• Keeps sensitive customer and company information confidential
• Contacts customer when needing to obtain information
• Complete authorizations and referrals for services.
• Review patient’s medical history and insurance coverage for approval
• Contact referring physicians for additional information as needed
• Monitor schedule for potential issues
• Complete billing documentation
• Obtain prior-authorizations/insurance benefits for all scheduled procedures
• Contact Referring Physicians and Insurance companies for clinical information
• Monitor schedule for add-on patients and obtain appropriate information
• Notate updated information in the computer system
• Inform management of any pending issues which might delay ability to perform scheduled procedure
• Monitor schedule for discrepancies, duplicate procedures and insurance authorizations conflicts.
• Accurately completes all associated documentation required for billing purpose
• Assist with other clerical tasks as needed Education and Qualifications
• High school diploma
• 1+ years of insurance verification
• Familiar with medical terminology
• Professional telephone courtesy

Job Type:

Full-time Pay:

$20.00 – $21.00 per hour

Benefits:

401(k) Dental insurance Health insurance Health savings account Life insurance Paid time off Vision insurance Ability to

Commute:

Winter Park, FL 32792 (Required) Ability to

Relocate:

Winter Park, FL 32792: Relocate before starting work (Preferred)

Work Location:

In person