Insurance Authorization Coordinator
New
United StatesFull-TimeMiddle
Salary not disclosed
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Job Details
- Required Skills
- Microsoft Excel
Requirements
- Previous experience in insurance verification and authorization.
- Knowledge of insurance terminology (EOB, deductibles, copays, coinsurance).
- Knowledge of payers such as Medicare, Medicaid, Commercial, Government, and Work Comp.
- Proficient in Windows and Microsoft Office (Word, Excel).
- Excellent attention to detail and strong organizational skills.
- Strong problem-solving and critical thinking skills.
- Professional communication skills (verbal and written).
- Ability to remain calm and respond professionally in stressful situations.
Responsibilities
- Manage incoming tasks, faxes, and DSMs related to benefit verifications and authorizations.
- Verify patient insurance eligibility via electronic means, phone calls, or faxes.
- Obtain HMO referral authorizations as needed.
- Enter patient benefits and authorization details into EMR and Referral Logs.
- Maintain tracking of active and expiring authorizations.
- Follow up on referrals and authorizations per SOPs.
- Manage insurance denials and appeals with insurance carriers.
- Explain insurance and authorization coverages to patients and staff.
- Maintain professional communication via phone, email, text, and chat.
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