Pre-Authorization Coordinator

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🕒 Julho 10

🗽 New York – Remoto

🗽 New York – Remote

💵 $29 - $32 / hora

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

🚫👨‍🎓 Sem graduação necessária

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Cornell University

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Descrição

• Responsible for the management of insurance verifications, eligibility and prior authorizations for services requiring referrals, including surgical procedures, visits and diagnostic testing. • Ensures that patient demographic, insurance information, verification and eligibility have been established and documented. • Verifies pre-certifications and obtains upgrades if needed. • Notifies the referring doctor’s office and contacts the patient if pre-certification is not obtained for next day. • Responsible for obtaining financial clearance and/or prior balances patients may have. • Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to appointment date. • Facilitates the communication and collection of any fees due from patient. • Documents and communicates with clinical staff, physicians, administrators and patients regarding insurance problems/discrepancies; contacts patients to receive updated insurance information or correct issues. • Scans documentation into the EMR system as necessary. • Inputs and/or obtains authorizations/precertifications into and from within online systems. • Initiates and prepares written correspondence as needed and based on functional needs. • Attends workshops, seminars and/or conferences to keep abreast of standards and best practices within the field. • Disseminates information to colleagues and/or staff as appropriate. • Performs other related duties as assigned.

🎯 Requisitos

• High School Diploma or equivalent required. • Approximately 2 years prior related experience in a customer service focused role. • Knowledge of CPT, ICD9, and ICD10 coding. • Excellent communication skills (both verbal and written). • Professional appearance, punctuality and a sense of urgency. • Ability to plan and prioritize work while responding to rapidly changing priorities. • Detail oriented.