Insurance Authorization Coordinator

Insurance Authorization Coordinator

FLETCHER ORTHOPRDIC & SPORTS MEDICINE

Tamarac, FL Job Details Full-time $17 - $19 an hour 2 hours ago Qualifications Collaborate with healthcare professionals Record keeping Overseeing health insurance pre-certification Managed care Medical insurance coverage verification Medical office experience HIPAA Medical coding guidelines Medical administrative support Health information regulatory compliance Organizational skills Patient interaction Clinical confidentiality policies Managing patient records Medical terminology Full Job Description Overview Join our dynamic healthcare team as an Insurance Authorization Coordinator, where your expertise will drive smooth and efficient insurance processes. In this vital role, you will coordinate insurance authorizations, verify coverage details, and ensure timely approval for patient procedures. Your proactive approach and attention to detail will help facilitate seamless communication between medical providers, insurance companies, and patients, ultimately enhancing the quality of care delivered. This position offers an energetic environment where your organizational skills and knowledge of managed care will make a meaningful impact every day. Duties Obtain and process insurance authorizations for various medical procedures by communicating with insurance providers and reviewing patient coverage details. Verify insurance benefits, eligibility, and coverage limits accurately using established protocols. Maintain up-to-date knowledge of managed care policies, CPT (Current Procedural Terminology) codes, ICD (International Classification of Diseases) codes (ICD-9, ICD-10), and medical coding standards to facilitate precise authorization requests. Review medical records and documentation to support authorization requests, ensuring compliance with HIPAA regulations for patient privacy and confidentiality. Collaborate with medical office staff to gather necessary documentation, including medical records and treatment plans, to support authorization submissions. Track authorization statuses, follow up on pending approvals, and communicate updates to providers and patients promptly. Maintain detailed records of all authorization activities, ensuring accuracy and compliance with office procedures. Requirements Previous experience in a medical office setting, with familiarity in medical terminology and office procedures. Knowledge of managed care processes, insurance verification procedures, CPT coding, ICD coding (ICD-9/ICD-10), and medical records management. Strong understanding of HIPAA regulations to ensure patient privacy during all communications. Experience working with insurance companies to obtain prior authorizations efficiently. Excellent organizational skills with the ability to manage multiple tasks simultaneously while maintaining attention to detail. Effective communication skills for liaising with providers, insurance representatives, patients, and team members. Office experience in a healthcare environment is preferred. Join us in delivering exceptional healthcare coordination that empowers providers and patients alike! Your dedication will help streamline insurance processes while ensuring compliance with industry standards—making a real difference in the lives of those we serve.

Pay:

$17.00 - $19.00 per hour

Work Location:

In person