Pay: $22-25/hour
Schedule: Monday through Friday 8:30AM – 5:00PM
Requirements:
- High school diploma or equivalent
- 1+ year of insurance verification experience is required
- 1+ year of authorization experience is required
- Knowledge of current ICD and CPT guidelines
- EMR experience (practice uses eClinicalWorks, NaviNet, Helio – training provided)
- Orthopedic/Pain Management experience highly preferred
Responsibilities:
- Responsible for monitoring incoming patient orders and gathering information needed to complete the pre-authorization and scheduling for an order
- Obtain authorizations for all diagnostic imaging, orthotics, DME, EMG studies, and hyaluronic acid injections directly or by submitting documentation to facility or vendor
- Contact patients as necessary to advise on scheduling
- Direct and timely contact with providers, MAs, PCCs, in regard to patients authorization status
- Review and notify provider of denials, appeal as needed, assist in setting up peer-to-peers
- Perform verification of patient’s insurance preferred drug prior to authorization request
- Obtain and coordinate delivery of injection medication from pharmacy for all commercial insurance and physicians in the practice
- Ensure all verification of customers insurance benefits is completed and updated
- Notify customers of deductibles, authorization approvals and co-insurance due
- Regularly call insurance companies to follow up on patient status and claims
- Always keep sensitive customer and company information confidential
- Contact customers to obtain any outstanding information
- Learn and understand all aspects of revenue cycle responsibilities and participate in a cross-training session
- Coordinate authorizations for customers with PIP claims
- Cross-train to support and perform all aspects of back office and cover other assignments when requested by management
- Receive calls related to authorizations, whether from patients or insurance companies
- Review incoming telephone encounters
- Review incoming faxes
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