Insurance Authorization Coordinator

Job not on LinkedIn

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟢 Junior

🔒 Insurance

🚫👨‍🎓 No degree required

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Center for Health Care Strategies

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1998

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

Center for Health Care Strategies is a U. S. -based organization dedicated to improving the healthcare system to achieve better and more equitable outcomes, particularly for those served by Medicaid. The center focuses on issues like complex health and social needs, mental health, substance use, and aging and disability. It emphasizes cross-sector partnerships, community engagement, and health equity to transform the delivery system and promote value-based payments. The organization also supports leadership and capacity building efforts to drive system reform, including integrating Medicare and Medicaid services and advocating for trauma-informed care and primary care innovation.

📋 Description

• Obtain preauthorization for assigned specialties and cover other workflow items • Submit required documentation and follow up to ensure timely authorization approvals • Process authorization and notification requests according to departmental policy and payer requirements • Verify insurance coverage, eligibility, demographics, benefits, and patient financial responsibility • Determine prior authorization and predetermination requirements for medical procedures and treatments • Stay current with insurance policies, guidelines, procedures, and medical coverage policies • Process appointment add-ons, schedule changes, date changes, and impactful service changes • Follow administrative review processes for services lacking authorization outside standard timeframes • Communicate authorization updates and address questions from patients, families, and healthcare professionals • Review clinical documentation for information needed in payer submissions • Maintain accurate records of requests, approvals, denials, correspondence, patient information, insurance details, and authorization activity • Collaborate with healthcare providers, physicians, clinical staff, Central Business Office, Financial Services, Transport, Patient Cost Estimation, Managed Care, Utilization Review, Authorization Departments, and other relevant departments • Resolve authorization barriers, denials, and appeals and identify alternative solutions • Participate in daily departmental huddles and report payer issues, workflow barriers, and risks of non-reimbursable or canceled services • Adhere to laws, regulations, privacy guidelines, and organizational policies • Perform other duties as assigned

🎯 Requirements

• High School Diploma required • Six months to two years of authorization experience required • Knowledge of insurance plans and third-party payor requirements • Understanding of CPT and ICD-10 codes and basic medical terminology • Knowledge of role-appropriate Epic Applications • Knowledge of Microsoft Word, Excel, and Outlook • Ability to work effectively in a virtual team environment • Ability to identify and resolve authorization barriers, denials, and appeals • Ability to maintain accurate authorization and insurance records • Must adhere to relevant laws, regulations, privacy guidelines, and organizational policies

🏖️ Benefits

• Competitive base compensation in the top quartile of the market • Annual incentive compensation • Comprehensive health, life, dental, and vision benefits • 403B with employer match • Licensure, CME and dues allowance • Not-for-profit status; eligibility for Public Service Loan Forgiveness • No state income tax for those living and working in Florida • Moderate tax structure for those based in Delaware