Job description

JOB POSTING – Insurance Authorizations Coordinator

Job description

APOLLO PAIN MANAGEMENT is a growing health care organization with offices in Sun City Center area and Bradenton. Our focus is on providing our patients with advanced, non-opioid based therapies for the improvement of their pain conditions. We are seeking an Authorizations Coordinator who is a reliable, experienced, energetic team-player with exceptional customer service skills, capable of providing an outstanding patient experience.

Work Location: Main office in Sun City Center, FL

Employment Type: Full-Time. $17.00-$18.00/hr based on experience

Benefits:

Paid time off

Paid holidays (7)

Health insurance

Health Savings Account

Retirement plan

Opportunities for advancement

GENERAL SUMMARY OF DUTIES

The Insurance Authorization Coordinator works to ensure that patients’ health care benefits cover required office visits and procedures. Employee will contact patients’ insurance companies and Primary Care offices to verify coverage levels, obtain authorization of covered services and work with patients to educate them on their benefits while assisting them with financial guidance to get the medical care they need approved. Additionally, the key responsibilities are as follows:

• Accurately carries out the responsibility for verifying patient insurance coverage
• Ensure that necessary office visits and procedures are covered by the insurance provider for multiple facility locations (ASC, Hospital and in offices).
• Demonstrates proficiency in working with insurance companies and has extensive knowledge of different types of coverages and policies.
• Demonstrates excellent organizational and multitasking skills, with the ability to work on many projects at once.
• Must be detail-oriented and organized, and maintains accurate patient insurance records.
• Ability to focus and work quickly, and can process patient insurance paperwork in a timely manner.
• Serves as a trusted resource to patients, providing them with pertinent information regarding their coverage. Clearly explains to patients the coverage amounts provided by their insurance policy so they can understand why some procedures may be covered, while others are not.
• Proficient in the use of insurance-specific portals to accurately verify insurance coverage and patient responsibility (eg, Availity).
• Utilizes problem-solving skills in verifying information recorded in the clinic financial system.
• Uses good judgement in contacting the patient for discovered unforeseen issues (i.e. anticipated procedure not covered, large co-pay or co-insurance, patient’s insurance premium was not paid)
• Provides immediate verification of benefits as needed for same or next day added-on patient appointments.
• Must have clear and strong understanding if in-network and out-of- network insurance benefits and how they work with payers along with deductibles, co-pays and co-insurance.
• Understands how to navigate medical record system to document and track authorizations. Also understands all administrative functions of EMR including the scheduling component.
• Demonstrates excellent communication skills throughout the process of scheduling and obtaining authorization.
• Maintains and adheres to the company’s OSHA, HIPAA, and Compliance regulations.
• Understands the general workflow of a medical office and how role relates to other performed.
• May be asked to schedule cases at hospital or surgery center. Will need to communicate with scheduling staff at these facilities.
• Other duties as assigned.

Location: Sun City Center office

Employment Type: Full-Time M-F 8am-5pm EST

Education: High school or equivalent required. College level courses preferred.

Requirements

• Insurance authorization and verification: 4 years
• Electronic medical records system: 1 year (preferably eClinicalWorks)
• Working knowledge of Medical Terminology, Insurance Terminology, ICD.10 and CPT codes, especially as they pertain to pain medicine.
• Thorough understanding of medical office workflow
• Minimum of High school diploma or GED certificate.
• Reliable transportation and punctuality a must!

Apollo Pain Management performs criminal background checks and pre-employment drug screens. APM is an Equal Opportunity Employer.

Job Type: Full-time

Pay: $16.00 - $18.00 per hour

Benefits:

• Health insurance
• Health savings account
• Paid time off
• Retirement plan

Schedule:

• Monday to Friday
• No weekends

Ability to commute/relocate:

• Sun City Center, FL 33573: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Insurance verification: 3 years (Preferred)
• authorizations: 3 years (Preferred)
• eClinicalWorks: 1 year (Preferred)

Work Location: In person

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