Verification and Authorizations Coordinator - NOT REMOTE

Description

**This is not a Remote position**

Very busy Orthopedic medical office is currently seeking a Full Time (in-office) Insurance Verification/Authorization Coordinator to join their team!  The Verifications and Authorizations Coordinator is responsible for determining insurance benefits and eligibility for our patients as well as obtaining authorization. You will contact health insurance companies to verify coverage for new patients and re-verify coverage for existing patients.  You will also be required to obtain authorization for procedures that we do in office.  Most of the eligibility, benefits, and authorization will be done using electronic software, from time to time you may be required to contact patients to update the insurance information or contact primary care doctors for referral information.

Major Responsibilities/Tasks:

• Use Phreesia, our automated system to contact insurance companies to verify patient insurance benefits, eligibility,  deductibles and copays
• Update EMR with amount owed by patient at time of service
• Update patient information into our system, as needed
• Ensure documentation is ready to submit for authorizations or verifications, per insurance requirements
• Contact PCPs for referrals, when necessary
• Coordinate processes and timing as required to meet physician and facility requirements
• Interact with patients, physicians and other staff within the clinic and at outside facilities providing accurate, timely and responsive information
• Maintain files and patient records in a confidential manner
• Perform other related duties as directed or assigned
• Assist with other administrative tasks as needed 

Requirements

Experience & Knowledge needed to be a successful Insurance Authorizations & Verifications Coordinator:

• Minimum of 6 months of previous experience in medical authorizations and verifications (required)
• Understanding of basic medical terminology 
• Proficient with Microsoft Office Suite and similar computer programs
• Knowledge of grammar, spelling, and punctuation to type, review and edit reports, documentation and correspondence
• Knowledge of CPT and ICD-10 codes (required)
• Skill in operating office equipment
• Skill in handling paperwork/filing adequately
• Skill in handling incoming phone calls and triaging appropriately
• Skill in written and verbal communication
• Skill in gathering, interpreting, and reporting insurance information
• Skill in trouble-shooting insurance issues and resolving appropriately

Work Environment: Work performed in office environment. Involves frequent contact with staff and occasional communication with patients.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Benefits 

· Excellent Health, Dental, and Vision, Life and Disability coverage after 60 days of employment.

· 401(k) with Employer Match and ability to contribute after 90 days! (Employer match begins at 1 year of employment).

· 2 weeks paid vacation begins accruing at date of hire and all major holidays paid.

· Monday thru Friday. 

NO WEEKENDS!!