- Respond to incoming referrals, verify demographic information, and assess the organization's ability to meet patient needs.
- Work with insurers to verify patient eligibility and benefits, and expediently complete prior authorizations using insurance portals or calling insurers directly. Ensure authorization is approved in a timely manner by following up with insurers and providing additional information
- Collaborate with billing department on account updates and authorization activity. Review authorizations to ensure proper coding (including modifiers) and coverage. Assist with denials by obtaining clinical information, ICD-10 coding, or other details to correct errors.
- Be responsible for handling multiple prior authorizations simultaneously and create processes to ensure top of the line performance. Conduct courtesy follow-ups, participate in training, and ensure compliance with policies and values.
- Maintain charts, records, and databases of patient authorizations
- Understand specialty-specific workflows, including creating re-authorizations, prior authorizations, etc
- Become a subject matter experty in woundcare prior authorization workflows for large all insurers. Communicate with referral sources, patients, and internal teams to resolve issues and provide alternative resources when needed.
- Stay informed on authorization requirements for all payors and regulatory guidelines
- Great team We spend a ton of time hiring and training the best people.
- Great pay We pay very well.
- Great opportunities We're growing and we like to promote from within. If you're a true rock star, the opportunities are limitless
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Authorizations Coordinator - San Antonio - Woundlocal
Description
Requirements
· High School Diploma or GED required
· years of billing and/or accounts receivable experience
· Strong knowledge of payer guidelines related to claim submission
· Familiarity with payer websites and billing resources
· Basic medical coding/terminology and insurance practices
· Proficiency in MS Office and ability to learn agency-specific software
· Solid phone communication with empathy, patience, and professionalism
· Ability to work independently, manage time effectively, and quickly learn program structures and procedures.
Benefits
Why this job is AWESOME:
Join us and you will see…we don't do things like everyone else. We are the newest and fastest growing in popularity for mobile healthcare servicing long-term care facilities. It's no secret how we're accomplishing this… it's our incredible team members and the winning culture we're building
If you are looking for an amazing practice to work for, grow, learn, and have a blast - this is it.
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Authorizations Coordinator
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Referral Authorization Coordinator
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Referral & Authorization Coordinator
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Referral & Authorization Coordinator
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Authorizations Coordinator
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Authorizations Coordinator
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Referral Coordinator
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Information System Security Officer
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Information Systems Security Officer
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Coord Transplant Financial
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Coordinator Referrals
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Information Systems Security Officer
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Admin Financial Coordinator
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Information Systems Security Officer
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Financial Coordinator
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Information Systems Security Officer
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Manager, Governance
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Research Scientist
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Director, Coding
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Referral Coordinator
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