Authorization Coordinator

Description

Job Title: Authorization & Pre-Financial Coordinator

Department: Business Office 

Reports To: Business Office Manager

FLSA Status: Non-Exempt

Hours: 40/week 

Shift: Days, Monday–Friday

Here at Franklin County Medical Center, we have a vision: be the premier healthcare provider and facility of choice for the community. A non-profit critical access hospital, we house 20 beds in our acute care facility and 35 beds in our nursing facility. With three operating rooms, a procedure room, and advanced technology, we provide excellent care for our surgical patients. Our recently constructed 24,000 square foot medical office provides valuable access, accommodations, and services to the community. FCMC was recognized as one of the “Top 100 Critical Access Hospitals” in the nation for four consecutive years from 2017-2020. Always striving for improvement, our goal is to be in the top 20 critical access hospitals.

As the largest employer in Franklin County, we understand that our team members, including our Authorization Coordinator and Pre-Financial Coordinator, are vital to upholding our high standards. We show our appreciation through competitive wages, flexible scheduling, encouraging a healthy work/life balance, and providing opportunity for education and growth through tuition assistance and promotions.

WHAT FCMC CAN DO FOR YOU

We offer a range of amazing benefits for our full-time employees, including:

• Medical
• Dental 
• Vision
• Basic Life Insurance
• Voluntary Life Insurance
• Short Term Disability
• Long Term Disability 
• Retirement Plans
• Paid Time Off
• Employee Illness Bank
• Paid Holidays

Part-time employees can enjoy Medical, Dental, Vision, Basic Life Insurance, Voluntary Life Insurance, Short Term Disability, Long Term Disability, Retirement Plans, and Paid Time Off. 

WHAT YOU CAN DO FOR FCMC

The Authorization and Pre-Financial Coordinators execute the insurance authorization process, including verifying insurance eligibility, checking network status, learning benefit information, and obtaining prior authorization. Serving as the liaison between insurance companies, patients/payers, and FCMC, tact, attention to detail, and communication are of utmost importance. Authorization Coordinators can expect to perform duties such as:

• Assisting patients with the hospital admission process
• Establishing and maintaining a detailed authorization tracking process
• Processing requests that are approved, denied, or deferred, and resolving them promptly
• Answering and returning phone calls from patients, physicians, and staff to respond to questions and requests
• Maintaining appropriate turnaround time on authorization requests
• Inputting authorization information and documentation in appropriate software systems
• Notifying financial counselors to calculate estimates for planned procedures based on estimated insurance allowable and patients benefits or cash pay rates
• Documenting all work and calls performed

Requirements

Qualifications:

• High school diploma or GED 
• Additional training or experience in the medical field preferred
• Computer literacy, including word processing, spreadsheet, and database management, and ability to use office equipment
• Strong organizational and interpersonal skills and experience with customer service
• Facilitation skills in order to support and work cooperatively with staff, patients, physicians, and external parties
• Working knowledge of Medicare, Medicaid, HMO, and private insurance coverage criteria
• Ability to act calmly and effectively in complicated or stressful situations
• Ability to establish and maintain working relationships with manager and peers
• Good communication skills, both written and oral, in the English language 

Essential Job Functions:

• Regular and predictable attendance is required
• Regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, and other office equipment
• Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports
• Occasionally required to sit, climb, balance, and push or pull up to 30 pounds
• Occasionally required to lift or carry up to 35 pounds
• Must comply with HIPAA to protect information that is sensitive, proprietary, or confidential 
• Must wear Personal Protective Equipment (PPE) as situations require to maintain infection control standards set by the facility 

Work Environment:

• FCMC operates 24 hours per day each day of the year: operational needs of departments may require that you be available to work all shifts, weekends, and holidays to meet the needs of the patients
• Occasional exposure to bodily injury, loud or unpleasant noise, unpleasant odor, and emotional or physical stress
• This role works on campus at the admission desk with assigned office hours Monday through Friday between 6:00 am to 5:00 pm

The Location:

Located in southeast Idaho, Franklin County is surrounded by the beautiful Rocky Mountains, giving ample opportunity for outdoor recreation. However, being less than thirty minutes from Logan, Utah and one hour from Pocatello, Idaho provides locals with a variety of shopping, dining, and entertainment options both here in the county and in nearby cities. Franklin County Medical Center invites you to make Franklin County your new home and join us in offering top-notch healthcare to your new community.