Prior Authorization Coordinator

STATUS: Non
- Exempt

DIRECT REPORTS: N/A

ACCOUNTABILITY OBJECTIVE: Responsible for obtaining pre-certifications and pre-authorizations for
procedures and medications helping to coordinate patient appointments.

KEY RESPONSIBILITIES:

• Verification for toxin, testing, and cognitive appointments.

• Obtain authorizations for all appointments.

• Process new order for toxins.

• Answer billing office calls.

• Maintain and complete prepayment worklist in EMR system.

• Maintain and complete eligibility worklist daily task.

• Maintain and complete worker’s compensation caseload.

• Cleanout billing folder in EMR system including faxes and voicemails.

• Other job duties as assigned.

QUALIFICATIONS AND SKILLS:

• High School Diploma or equivalent.

• Excellent verbal and written communication skills to include superior interpersonal and patient
contact skills and excellent telephone manners.

• Minimum of two years of experience with scheduling and insurance billing for medical services
with general knowledge of ICD
10 and CPT codes.

• General knowledge of office procedures, equipment, and comprehensive computer skills.

• Work under minimal supervision and effectively in a team environment.

• EMR experience a plus.

ADDITIONAL EXPERIENCE, NOT REQUIRED:

• At least one (1) year of related experience in a Neurological setting

• Prior Authorization Certification a plus

• Strong computer and typing skills

• Knowledge of basic medical terminology