Epicareer Might not Working Properly
Learn More

Authorization Coordinator - (ZR_20145_JOB)

Salary undisclosed

Checking job availability...

Original
Simplified
This is a remote position.

Job Highlights

  • 40 hours per week
  • Permanent work from home
  • Schedule: Monday to Friday 8:30 AM - 4:30 PM Florida Time with a 30-minute unpaid break
  • Client Timezone: Florida

Responsibilities

  • 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.
  • Need to contact patients to obtain updated policies and run it.

Requirements

  • Previous experience in insurance verification preferred
  • MUST HAVE WINDOWS OS
  • Has experience in claims verification and submission
  • Excellent verbal and written communication skills
  • Strong attention to detail and accurate data entry abilities
  • Ability to multitask and prioritize tasks in a fast-paced environment
  • Proficient in basic computer skills and data entry
  • Experience in US health insurance authorization

Independent Contractor Perks

  • HMO Coverage for eligible locations
  • Permanent work from home
  • Immediate hiring
  • Steady freelance job

ZR_20145_JOB