We are a busy Orthopaedic practice in Pomona looking for a full-time Authorization Coordinator to efficiently and accurately execute referrals. Familiarity with Orthopaedic is a plus!

Primary Job Duties:

• Authorizations & Eligibility: must confirm patient eligibility and benefits with insurance plans. knowledge in prior authorization to streamline the needs for clinic and facility services.
• Knowledge in DME
• Obtain authorizations & Referrals, minimum three days ahead of clinic schedule.
• Maintain turnaround time compliance of the prior authorization process.
• Assist other staff and support in authorizations as needed.
• Knowledge of CPT and ICD-10 codes required.
• Maintains HIPAA Compliance
• Effectively answer incoming calls
• Knowledge with HMO,PPO's and insurance portals
• Work with Front Office staff, Back Office medical assistants and physicians with regards to any authorizations needed.

Requirements:

Must have at least one year Authorization Coordinator experience; Must know diagnostics, CPT codes.
Experience with prior authorization and experience with HMO authorizations.
Experience with an EMR/EHR system.
Experience with Excel spreadsheets.
Must have organizational skills and great phone etiquette

Job Type: Full-time

Pay: $17.00 - $20.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday

Experience:

• Customer service: 1 year (Preferred)
• Medical terminology: 1 year (Preferred)
• Computer skills: 1 year (Preferred)

Work Location: In person