Authorization Coordinator - (ZR_20145_JOB)

This is a remote position.

• • Completes accurate and timely insurance verification.
  
• • Completes accurate and timely third party prior payer authorization requests, including ensuring all necessary data elements needed for an authorization (e.g., CPT codes, diagnosis codes) are available.
  
• • Ensures services scheduled by outside providers have approved authorization as required by payer and procedure to prior service.
  
• • Communicates with patients, insurers and other appropriate parties pertaining to insurance verification and authorization.
  
• • Provides clear documents for clearance /authorization to proceed with office visits and/or procedures
  
• • Creates a positive patient experience by being polite, compassionate and professional.
  
• • Provides cross-coverage and training when needed for other team members.
  
• • Maintains productivity and quality performance expectations.
  
• • Regular attendance is required to carry out the essential functions of the position.
  
• • Reviews and meets ongoing competency requirements of the role to maintain the skills, knowledge and abilities to perform within scope role specific functions.
  
• The need to obtain authorization for daily visits, meaning, they will connect with primary care doctors according to the insurance they have and obtain an authorization
  
• Need to be able to communicate with staff on daily add Ons patients that are filled for cancelled appointments.
  
• Need to be able to put the correct copay amount for each patient in the appropriate slot for the staff to be able to collect for the daily visits.
  
• Need to be able to obtain authorizations for procedures on a daily base. Basically, the insurance coordinator needs to be at least 1 week out with obtaining all of the AUTH’s.
  
• The insurance coordinator needs to differentiate between policies, and they type of policy, HMO, PPO, POS, advantage plans and which one will require auth and which does not.
  
• Need to run insurance daily for changes in policies, active, inactive, grace period.
  

Requirements