In Office Testing - Authorizations Coordinator

POSITION SUMMARY :

Responsible for obtaining authorizations from insurance companies and referrals from primary care physicians (PCP) for in office testing. Verifies insurance and applies correct plan information in patient’s accounts. This position is typically required to work mandatory overtime January through March of each calendar year. Please note that the overtime may be changed, modified or canceled at any time with or without notice.

ESSENTIAL JOB DUTIES :

• Verifies Primary and Secondary insurance plans.
• Verifies and updates patient registration information in the practice management system.
• Contact Healthcare insurance for office visits Referral and Authorization requirements.
• Review procedure orders and documentation to determine necessity of prior auth.
• Obtain Authorization for procedure performed in office for testing.
• Assist with internal emails.
• Other duties and tasks assigned as appropriate or necessary.
• Consistently seeks resources to stay informed on changing authorization requirements for testing and procedures.

Position Requirements

KNOWLEDGE, SKILLS AND ABILITIES :

EDUCATION AND / OR EXPERIENCE :

PHYSICAL DEMANDS / WORK ENVIRONMENT :

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the following physical / work environment functions apply :