Authorizations Coordinator

Job Overview We are seeking a proactive and detail-oriented Authorizations Coordinator to join our healthcare team. In this vital role, you will manage the authorization process for medical services, ensuring timely approval from insurance providers to facilitate seamless patient care. Your expertise in managed care, medical terminology, and insurance verification will be instrumental in coordinating authorizations efficiently. This position offers an exciting opportunity to contribute to a dynamic healthcare environment where accuracy and communication are key to success. Responsibilities Obtain prior authorization from insurance companies for various medical procedures and treatments, ensuring compliance with payer requirements. Verify patient insurance coverage and eligibility using established protocols, including managed care guidelines. Review and interpret medical records, documentation, and clinical notes to support authorization requests. Collaborate with physicians, medical offices, and other healthcare professionals to gather necessary information for authorization submissions. Maintain detailed records of all authorization requests, approvals, denials, and follow-up actions in accordance with HIPAA regulations. Follow up regularly with insurance carriers to track the status of authorization requests and resolve any issues promptly. Stay current on updates related to CPT coding, ICD-9, ICD-10 coding systems, and insurance policies to ensure accurate submissions. Skills Strong knowledge of managed care processes and insurance verification procedures. Experience working in a medical office or healthcare setting with familiarity in medical records management. Proficiency in HIPAA compliance standards to protect patient confidentiality at all times. Ability to interpret and utilize CPT coding as well as ICD-9 and ICD-10 coding systems effectively. Excellent understanding of medical terminology and clinical documentation requirements. Prior experience with medical coding, insurance billing, or authorization processes is highly desirable. Effective communication skills for liaising with healthcare providers, insurance companies, and patients. Familiarity with dental office procedures is a plus for roles involving dental authorizations. Join us in making a difference by streamlining the authorization process—helping patients receive the care they need while supporting our team's commitment to excellence!

Pay:

$22.00 - $23.50 per hour

Benefits:

401(k) Dental insurance Disability insurance Flexible spending account Health insurance Health savings account Life insurance Paid time off Retirement plan Vision insurance

Work Location:

In person