Authorization Coordinator

Requirements

• Previous experience with Athena system is a plus
• Excellent customer service and communication skills
• Excellent communication skills - both written and verbal
• Ability to plan, coordinate, and organize front office tasks
• Good computer skills and being familiar with Microsoft (Word and Excel)
• Knowledge in Insurance portals a plus

Qualifications

• High School Diploma or GED
• At least 1 year of customer service skills and experience

Skills

• Verifying eligibility
• Submitting authorization requests
• Managing ancillary schedules
• Scheduling and managing physician clinic/procedure schedules
• Welcoming patients and explaining services, payment categories, and billing procedures
• Verifying demographics, referral, and insurance info
• Preparing for insurance verification
• Rescheduling appointments/tests/procedures
• Verifying patient coverage and computing charges
• Answering and routing phone calls
• Communicating patient issues to the practice manager
• Ensuring front office cleanliness

About the Role

Instill the IMS mission, vision, and values in the work performed. Submits authorization requests to insurance for ancillary services performed in the clinic. Manages ancillary schedules to ensure all tests/procedures are approved to be performed before the patient arrives for testing. Coordinates and manages physician clinic/procedure schedules with the RFA/Procedure schedulers. Welcomes patients as they contact the office either personally or by telephone, and explains the services available, payment categories, and billing procedures. Verifies demographics, referral, and insurance info of new patients and established patients. Prep a few days before verifying insurance/outstanding liabilities/medical documentation/informing patients of copays and deductibles. Re-schedules appointments/tests/procedures if needed due to insurance. Reviews and verifies patient coverage of insurance or other agencies and computes the charges to be paid by the patient. Answers all incoming calls and route them to the appropriate staff, phones must be answered within 3 rings, and phone ring volume must be turned up to level 5. Verifies eligibility via insurance portals or by calling insurance. Provides excellent customer service and assistance to patients of the practice. Communicates patient’s problem/complaint to the practice manager. Responsible for the overall cleanliness of the front office.