Insurance Pre-Authorization Coordinator
Listed on 2026-01-12
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Healthcare
Healthcare Administration, Medical Billing and Coding
Insurance Pre-Authorization Coordinator
Job at Mambo Seafood Restaurants
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, the Insurance Authorization Coordinator must be detail oriented with excellent phone diction and outstanding customer service skills. This is a full-time, benefited position that reports to the Insurance Manager.
- Obtain insurance authorizations for surgical procedures using online applications or by contacting insurance companies directly.
- Address insurance related patient concerns.
- Review schedule ahead of time to determine pre-certification and prior authorization requirements.
- 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.
- Personable and detail oriented while representing the practice and providing proper information to callers.
- Excellent verbal and written skills for proper documentation of encounters.
- Bilingual candidates are encouraged to apply.
- 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.
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