What are the responsibilities and job description for the Occupational Therapy Prior Authorization Specialist & Coordinator position at Plastic + Hand Surgical Associates?
Plastic Hand Surgical Associates is a leading reconstructive, hand and cosmetic surgery physician practice. Our day surgery center is fully accredited by the Accreditation Association for Ambulatory Health Care (AAAHC). We provide patients with individualized care in a comfortable, private setting.
We’re excited to announce an opportunity for an experienced OT Coordinator/Prior Authorization Specialist to join our team at our brand-new, state-of-the-art facility in the Rock Row Medical Campus!
Responsibilities include:
- Review benefits & eligibility for all scheduled Occupational Therapy patients.
- Initiate and manage all OT authorization requests.
- Coordinate and manage patient documentation, including OT prescriptions, supporting documents, and DME forms.
- Collect patient payments, such as copays and self-pay fees
- Manage OT inventory/stock, including adding to EMR and ordering as needed
- Manage OT schedule as needed, including printing notes, scheduling appts, preparing supplies, preparing handouts, etc
- Manage denials and submit appeals to get them approved from insurance companies.
- Assist with authorizations for imaging and specialty drugs as needed
- Serve as back up for the Surgical Prior Authorization staff
- Maintain an extensive working knowledge of insurance companies and billing authorization requirements
- Should be comfortable discussing insurance benefits and financial responsibilities with patients
The successful candidate will have a minimum of 2 years' experience performing prior authorizations, such as OT/PT, Medication, and Imaging prior authorizations. Candidate should also have a good understanding of procedure coding.
This position is full time, 35hrs/wk and on site.
Job Type: Full-time
Pay: $23.00 - $25.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Experience:
- Prior Authorization: 2 years (Required)
Ability to Commute:
- Westbrook, ME 04092 (Required)
Work Location: In person
Salary : $23 - $25