SURGERY AND INSURANCE AUTHORIZATION COORDINATOR

Northern California Foot and Ankle Center Santa Rosa Santa Rosa, CA Job Details Part-time $21 - $26 an hour 1 hour ago Benefits Health insurance Qualifications Teamwork Medical office experience HIPAA Medical administrative support Medical terminology Full Job Description Job Summary We are seeking a dedicated and detail-oriented Surgery and Insurance Authorization Coordinator to join our dynamic healthcare team. In this vital role, you will be responsible for managing surgical case approvals and ensuring timely insurance authorizations, facilitating smooth patient care processes. Your expertise in medical billing, coding, and insurance policies will help streamline operations, improve patient satisfaction, and ensure compliance with healthcare regulations. This position offers an exciting opportunity to contribute to a collaborative environment focused on delivering exceptional patient outcomes. Responsibilities Coordinate and obtain prior authorization for surgical procedures from various insurance providers, ensuring all necessary documentation is complete and accurate. Verify patient insurance coverage and benefits, including health insurance policy details, to facilitate seamless billing and reimbursement processes. Review medical records, clinical notes, and diagnostic codes such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding systems to support accurate claim submissions. Maintain compliance with HIPAA (Health Insurance Portability and Accountability Act) regulations by safeguarding patient confidentiality and handling sensitive medical information with care. Collaborate with physicians, administrative staff, and insurance companies to resolve authorization issues promptly and efficiently. Utilize Electronic Medical Records (EMR/EHR) systems for documentation, tracking authorization statuses, and updating patient records accurately. Stay informed about managed care policies, health insurance guidelines, and updates in medical coding standards to ensure ongoing compliance and optimal reimbursement. Skills Strong knowledge of HIPAA regulations and clinical confidentiality policies to protect patient privacy at all times. Proficiency in CPT coding, ICD-9/ICD-10 coding systems, and medical terminology for accurate documentation and billing. Experience with medical office procedures including insurance verification, prior authorization processes, and medical billing practices. Familiarity with EMR/EHR systems for managing electronic health records efficiently. Excellent customer service skills to communicate effectively with patients, providers, and insurance representatives. Ability to interpret health insurance policies, managed care plans, and health insurance guidelines to navigate complex authorization requirements. Competence in using Microsoft Office applications for documentation, reporting, and correspondence related to authorization processes. Join our team as a Surgery and Insurance Authorization Coordinator if you are passionate about healthcare administration, thrive in fast-paced environments, and are committed to delivering outstanding service while ensuring compliance with industry standards!

Pay:

$21.00 - $26.00 per hour

Work Location:

In person