What are the responsibilities and job description for the Pre Authorization Coordinator position at Summit Spine and Joint Centers?
Integrated Pain Solutions is an interventional pain management clinic that focuses on chronic pain, offering interventional procedures as well as medication management.
"IPS is a subsidiary of SSJC"
This job is a full-time, benefited position at Integrated Pain Solutions that reports to the Insurance Manager. You could have the choice of working at one of the following locations: Jacksonville, Rockingham, Southern Pines
Job Duties:
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 companies 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
