Insurance Pre-Authorization Coordinator

Company Overview

Summit Spine and Joint Centers (SSJC) is on track to become the largest comprehensive spine and joint care provider in the Southeast while providing clinical and surgical services to our patients. We excel in providing quality care to all our patients and are trend setters in the field with our multi-modality treatment options and varied care delivery models. We are seeking qualified individuals to join our team and provide exceptional patient care!

Job Description Summary

Under general supervision of a licensed provider, as an Insurance Authorization Coordinator one must be detail oriented with excellent phone call diction, and outstanding customer service skills. We are seeking motivated individuals who can problem-solve and multitask as we are a fast-paced practice. Gain skills and knowledge of organization policies and procedures in support of the department.

This job is a full-time, benefited position at Summit Spine & Joint Centers that reports to the Insurance Manager.

Responsibilities

• Obtain insurance authorizations for surgical procedures by using online applications or by contacting insurance company directly.
• Comfortable working in a growing organization and able to navigate change.
• Address insurance related patient concerns
• Self-motivated with the ability to multi-task and prioritize work in a fast-paced team environment
• Review schedule ahead of time to determine pre-certification and prior authorization requirements.
• Must be familiar with Medicare and Commercial Insurances.
• Maintain organized working files of all authorization requests and enter approved authorizations into the system.
• Coordinate and document all financial responsibilities related to patient deductibles, coinsurance, and copays owed at the time of service.
• Other Insurance duties as assigned
  
  

Skills And Abilities:

• Must be personable and detail oriented as a representative of the practice while callers rely on proper information
• Excellent verbal and written skills for proper documentation of encounters.
• Bilingual candidates are encouraged to apply
  
  

Education And Experience:

• Minimum of 2 years' experience in an outpatient medical office, working in an Insurance Authorization or Pre-Authorization/Certification role.
• Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required
• Authorization portal experience required
• Experience in Pain Management Authorizations required
• EMR/EHR experience is required.