Authorizations Coordinator

At Family Care Specialists - an Altais Clinical Services Subsidiary, we're looking for bold and curious innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, patients, and the clinical community. Doctors today are faced with the reality of spending more time on administrative tasks than caring for patients. Physician burnout and fatigue are an epidemic, and the healthcare experience and quality suffer as a result. At Altais, we’re building breakthrough clinical support tools, technology, and services to let doctors do what they do best: care for people. We invite you to join our growing passionate team as we change the game for the future of healthcare and enable the experience that people need and deserve. Altais family of companies include: Brown and Toland Physicians, Altais Medical Group Riverside, and Family Care Specialists.

About Your Team

Are you looking to work with a high performing, fast growing and dynamic Clinic team? Altais and our subsidiaries, form one of the most recognized medical groups in California. We are 4,000 physicians, working in over 40 cities in California, caring for more than 500,000 patients. If working in a mission driven organization supporting highly competent, hard-working, thoughtful clinicians who value good ideas and are passionate about reshaping healthcare excites you, then we are thrilled to welcome you to your new career.

About Your Work

Promotes a professional practice image by the efficient performance of a variety of business and clerical related tasks designed to facilitate the smooth flow of patients and work throughout the organization. Responsible for maintaining and managing internal and external authorizations processing in a timely and accurate manner consistent with FCS policies and procedures and as described by FCS IPA management.

You will focus on:

• Verifies benefit eligibility of patient on-line and by telephoning the insurance carrier.
• Reviews authorization forms for correctness and completeness
• Assist patients that come into the office with questions regarding their authorizations.
• Responsible for appropriately date stamping the authorizations.
• Assists with filing authorizations appropriately.
• Makes necessary corrections and/or additions on any stat or urgent requests. Including appropriate coding.
• Returns any authorizations of a non-urgent or stat nature that needs corrections or additions to the appropriate nursing staff.
• Maintain office manager inform of needed corrections and/or additions. As well as any and all concern regarding to areas of responsibility.
• May notifies patient of authorization status in letter form and/or phone as directed.
• Schedules appointment for the patients.
• Effectively communicates with site and practitioner to clarify any questions and update status pertaining to letter and estimate creation as well as authorization process.
• Request report from specialists as needed.
• Create and maintain pending letters & authorization variance report weekly.
• Assists and monitors processing of authorization and enters, updates and closes authorization daily while assuring that: Appropriate internal/external referral providers are utilized. Members are eligible and have benefit coverage. Correct CPT/ICD-10 codes have been entered. Accurate records of all dates and other required fields is entered. Supporting clinical data for the referral is entered. All referrals are processed according to policy and procedures.
• Prints and mails authorizations to providers, patients, HMO’s and facilities as needed.
• Processes referrals for Durable Medical Equipment and may coordinates Home health Services according to established policies, procedures and guidelines.
• Coordinates, identifies and routes referrals that require review to licensed Care Management staff who arranges outside physician medical review as appropriate.

The Skills, Experience & Education You Bring

• Strong interpersonal and customer service skills
• Experience with an electronic medical record, MS word, Excel, Outlook and the ability to learn new applications
• Ability to communicate (both internally and externally) clearly and consistently with established procedures and guidelines
• High School Diploma or GED
• EMR experience - EPIC preferred
• 1 year of experience as a Medical Authorization Coordinator

You Share our Mission & Values

• You are passionate about improving the healthcare experience and want to be part of the Altais mission.
• You are bold and curious- willing to take risks, try new things and be creative.
• You take pride in your work and are accountable for the quality of everything you do, holding yourself and others to a high standard.
• You are compassionate and are known as someone who demonstrates emotional intelligence, considers others when making decisions and always tries to do the right thing.
• You co-create, knowing that we can be better as a team than individuals. You work well with others, collaborating and valuing diversity of thought and perspective.
• You build trust with your colleagues and customers by demonstrating that you are someone who values honesty and transparency.

Clinic Info:

• Hours of Operation: M-F / 8a-5p

Benefits:

Fully Benefited with HMO/PPO Options Dental and Vision! Generous Time-Off with 17 Days of PTO 10 Paid Holidays.

Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.

The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate’s qualifications, skills, and experience.

Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our ‘CPRA Privacy Notice for California Employees and Applicants’ to learn how we collect and process your personal information when you apply for a role with us.

Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork – Activity level: Sedentary, frequency most of workday.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.