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    Pediatric Patient Authorization Coordinator - Spring, United States - Cole Health

    Cole Health
    Cole Health Spring, United States

    1 week ago

    Default job background
    Description
    Medical Receptionist/Scheduler Experience Preferred

    Location: 16835 Deer Creek Drive, Spring, TX 77379

    Schedule:
    Can be flexible but typically 8am-5pm


    Hourly Rate:
    $16-$17

    The Medicaid Authorization Coordinator will obtain Medicaid authorizations in a timely manner. The Medicaid Authorization Coordinator reports to the Regional Director of Administration.

    Operational Responsibility

    On the 1st of each month process eligibility status for all Medicaid clients

    Gather all necessary documentation and signatures on therapy evaluation reports in a timely manner for Medicaid authorization

    Send authorization requests to Medicaid managed care and CHIPS Medicaid providers

    Maintain file of all Medicaid authorizations


    Accurately entering Medicaid authorization details in the patient database including therapy discipline, start and end dates of authorization, number of units or visits approved, and authorization number.


    Contact appropriate personnel with detailed information on Medicaid authorization received including therapy discipline, start and end dates of authorization, number of units or visits approved, and authorization number.

    Communicate with Patient Schedulers when a client must go on hold due to lack of Medicaid authorization.

    Communicate to any involved Front Desk Receptionists any lack/change of Medicaid coverage for clients at the beginning of the month.

    Shred or file copy of patient reports and documents once authorization is received.

    Abide by HIPAA compliance regulations and guidelines when handling patient information

    Other Responsibilities

    Carry out any other projects assigned by the Regional Director of Administration.

    Qualifications

    Team Player

    Accuracy, Dependability, Friendly, Outgoing. Polite, Multitask

    Bilingual Preferred

    Microsoft Office - Intermediate Level

    High School Diploma or equivalent


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