Authorization Coordinator - Upland, United States - Premier Orthopaedic Trauma Specialists
2 weeks ago
Description
We are a busy Orthopaedic practice in Pomona looking for a full-time Authorization Coordinator to efficiently and accurately execute referrals.
Familiarity with Orthopaedic is a plusPrimary Job Duties:
- Authorizations & Eligibility: must confirm patient eligibility and benefits with insurance plans. knowledge in prior authorization to streamline the needs for clinic and facility services.
- Knowledge in DME
- Obtain authorizations & Referrals, minimum three days ahead of clinic schedule.
- Maintain turnaround time compliance of the prior authorization process.
- Assist other staff and support in authorizations as needed.
- Knowledge of CPT and ICD10 codes required.
- Maintains HIPAA Compliance
- Effectively answer incoming calls
- Knowledge with HMO,PPO's and insurance portals
- Work with Front Office staff, Back Office medical assistants and physicians with regards to any authorizations needed.
Requirements:
Must have at least one year Authorization Coordinator experience; Must know diagnostics, CPT codes.
Experience with prior authorization and experience with HMO authorizations.
Experience with an EMR/EHR system.
Experience with Excel spreadsheets.
Must have organizational skills and great phone etiquette
Pay:
$ $20.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Weekly day range:
- Monday to Friday
Experience:
- Customer service: 1 year (preferred)
- Medical terminology: 1 year (preferred)
- Computer skills: 1 year (preferred)
Work Location:
In person
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