What are the responsibilities and job description for the Authorization Coordinator - Days - 3 days per Week (24 hours) position at Sturdy Memorial?
Obtains authorization numbers from insurance companies for imaging procedures ordered as required.Completes regular audits and resolves issues. Works with multiple insurance carriers / vendors and keeps current with all changes as they relate to prior authorization. Communicates / interacts with specific divisions in the ASG regarding approved or denied prior authorizations. Communicates with Insurance Verification, the Central Billing Office, and other Departments to resolve prior authorization issues.Manages the daily "Missing Prior Authorization" report received from Insurance Verification.Coordinates process for authorization using defined best practices; specifically, internet applications.Covers the front desk on a rotating basis based on coverage needs.Works on Prior Authorizations as needed and in rotation.Education / Training
High school graduate or equivalentCertificate in insurance authorization / verification preferred.Business School degree preferred.Licenses / Certification :
N / ARequired Qualifications and Skills :
Minimum of 2 - 3 years of medical secretarial / administrative support experience6 -12 months of prior authorization experienceMicrosoft Office and internet skills required.Excellent customer service skillsAbility to work in a team environment.Preferred Qualifications and Skills :
Command of verbal and written EnglishMust possess excellent people skills and adaptability, creating a favorable department image and associate work environment.Visibly demonstrate commitment to customer relationsContinuously invested in continuous Quality Improvement and preventing errors from reaching the patientEngaged in all patient satisfaction initiatives.Must possess excellent computer skills which include Email, Outlook, Microsoft Office (Word, Excel, and PowerPoint)Essential Job Functions :
Manage Daily patient referrals to specialty departments in a timely manner.Respond to patient messages in a timely manner and within 24 hours.Communicate with patients about their referrals, authorizations, and appointments.Communicate with vendors on updating patient coverages and benefits.Assist patients with problem solving potential issues with coverage, financial and social barriers.Provide medical support services to the providers to ensure a smooth flow of patients through the systems.Work on Prior Authorizations as needed basis.
Other duties :
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Other duties as assigned.
AGE AND DIVERSITY RELATED CRITERIA :
Consistently treats patients, colleagues and visitors with dignity and respect, while being sensitive to the differing needs of all age groups, backgrounds, characteristics, and cultures.
ABILITY TO FULFILL JOB EXPECTATIONS : Must have the ability to the perform essential functions of the position, including required work hours, locations, and physical demands, without posing a direct threat to the health and safety of themselves or other individuals in the workplace, and with or without reasonable accommodation.
PHYSICAL DEMANDS :
Prolonged periods of sitting at a desk and working on a computer.Sturdy Memorial Hospital is an equal employment opportunity employer. There is no discrimination because of race, color, creed, age, gender, sexual orientation, national origin, veteran status or disability.
