Authorization Coordinator

Well&You’s mission is to elevate the quality of healthcare in our community while delivering it conveniently, cost-effectively, and in comfort. We are a rapidly growing multispeciality medical practice and brand that focuses on a wide range of advanced, cost-effective outpatient procedures performed in state-of-the-art facilities. Our board-certified, fellowship-trained invasive cardiologists and interventional radiologists specialize in treating heart disease and complex venous and arterial conditions. Well&You delivers high-quality, patient-centric care that meets the diverse needs of our community. We are looking for a hardworking, highly motivated, flexible, and agile team member to work with us.

Job Summary:

The Authorizations Coordinator is responsible for managing the authorization to ensure patients receive timely access to necessary healthcare services. This role involves coordinating with insurance companies, healthcare providers, and patients to obtain prior authorizations for treatments, referrals, and other medical services. The Coordinator ensures compliance with insurance guidelines, minimizes delays in care, and maintains accurate documentation in the electronic health record (EHR) system.

Duties/Responsibilities:

• Coordinate and obtain prior authorizations for procedures and other medical services from insurance companies.
• Verify patient insurance coverage and eligibility before submitting authorization
• Follow up with insurance companies, healthcare providers, and patients to resolve any delays or issues in the authorization process.
• Communicate authorization approvals or denials to the appropriate medical staff, patients, and referring providers.
• Maintain detailed records of all authorization activities in the electronic health record (EHR) system.
• Provide patients with information on the authorization process, including estimated wait times and any required actions on their part.
• Work closely with clinical staff to ensure appropriate coding and documentation is provided for authorizations.
• Stay updated on changes in insurance policies, authorization guidelines, and referral processes to ensure compliance.

Required Skills/Abilities:

• Familiarity with insurance plans, coverage policies, and prior authorization requirements.
• Proficiency in medical terminology, ICD-10 and CPT coding, and understanding of healthcare workflows.
• Experience with electronic health record (EHR) systems and practice management software.
• Strong organizational, communication, and problem-solving skills.
• Ability to multitask and manage priorities in a fast-paced environment.
• Attention to detail and accuracy in documentation and communication.
• Knowledge of HIPAA regulations and patient confidentiality standards.

Education and Experience:

• High school diploma or equivalent; associate degree or relevant certification in healthcare administration is a plus.
• Minimum 1-2 years of experience in a healthcare setting, preferably in medical billing, insurance verification, or authorizations/referrals.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

We are seeking a candidate who embodies the following core values and traits that are essential to our team culture:

• Accountability: Takes ownership of tasks and decisions; ensures quality and timeliness of tasks
• Clarity: Ensures information is shared in a clear and concise manner, fostering effective collaboration.
• Effective Communication: Strong verbal and written communication, understood across all levels.
• Empathy: Possesses deep understanding of others’ perspectives; allows for meaningful connections
• Hard Work: Driven, diligent, and committed to putting the effort required for excellence.
• Humility: Displays modesty in success, openness to learning and recognizes contributions of others.
• Integrity: Upholds strong moral principles, ensuring honesty and ethical behavior
• Open-Mindedness: Welcomes new ideas and fosters innovation and diverse thinking.
• Reliability: Consistently delivers on promises and can be counted on in times of need.
• Respect: Treats colleagues, clients, and stakeholders with courtesy, valuing diverse opinions.
• Teamwork: Collaborates effectively with others and priorities team goals
• Transparency: Open about processes and decisions, ensuring trust within the team.
• Trust: Builds and maintains strong, trusting relationships through dependability and consistency

Job Type: Full-time

Pay: $45,000.00 - $50,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Vision insurance

Ability to Commute:

• Jacksonville, FL 32218 (Required)

Ability to Relocate:

• Jacksonville, FL 32218: Relocate before starting work (Required)

Work Location: In person

Salary : $45,000 - $50,000