What are the responsibilities and job description for the Complex Case Insurance Authorization Coordinator position at Summit Spine and Joint Centers?
Company Overview:
Summit Spine and Joint Centers (SSJC) is on track to become the largest comprehensive spine and joint care provider in the state of Georgia while providing clinical, surgical, and imaging services to our patients. We are seeking qualified individuals to join our team and provide exceptional patient care!
Summary of Position:
Under general supervision of a licensed provider, as a Complex Case Insurance Authorization Coordinator one must perform insurance authorizations for complex surgical procedures such as SCS trials and implants, Vertiflex implants, SI Joint Fusions, NALU/Sprint Peripheral Nerve Stimulators, Intracepts, VIA DISCs, etc. We are seeking motivated individuals who can problem-solve and multitask as we are a fast-paced practice. Gain skills and knowledge of organization policies and procedures in support of the department.
This job is a full-time, benefited position at Summit Spine & Joint Centers that reports to the Director of Operations. This position’s primary location will be at the Administrative Building in Lawrenceville, GA.
Responsibilities
- Routinely provide patients with other clinic and community-based resource materials as appropriate.
- Research, follow up and resolve open & pending procedure authorizations in a timely manner
- Verify insurance eligibility and benefits of prospects/referrals
- Comfortable working in a growing organization and able to navigate change.
- Address insurance related patient concerns
- Self-motivated with the ability to multi-task and prioritize work in a fast-paced team environment
- Review schedule ahead of time to determine pre-certification and prior authorization requirements.
- Obtain authorizations by using online applications or by contacting insurance company directly.
- Must be familiar with Medicare and Commercial Insurances.
- Maintain organized working files of all authorization requests and enter approved authorizations into the system.
- Coordinate and document all financial responsibilities related to patient deductibles, coinsurance, and copays owed at the time of service.
Skills And Abilities
- Must be personable and detail oriented as a representative of the practice while callers rely on proper information
- Excellent verbal and written skills for proper documentation of encounters.
- Bilingual candidates are encouraged to apply
Education And Experience
- Minimum of 2 years' experience in an outpatient medical office, working in an Insurance Authorization or Pre Authorization/Certification role.
- Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required
- Authorization portal experience preferred
- Experience in Pain Management preferred
- Experience using eClinicalWorks preferred
