Prior Authorization Coordinator- Intensive Cardiac Rehab

Job Description

In this position you will determine client benefits and obtain and track client authorizations for services. People who are successful in this position will have a high attention to detail and be able to work in a fast-paced environment. Prior Authorization Coordinator is responsible for verifying patient-eligibility, coordinating benefits, and facilitating insurance coverage, as well as addressing patients' concerns regarding authorization and turnaround.

Full Time, Monday
- Friday, 8:00am-5:00pm

• Contacting insurance companies via phone and/or web to verify client s medical benefits
• Analyzing reports, tracking, and obtaining necessary authorizations for all services
• Answering insurance coverage and prior authorization questions from providers, families, and other Revenue Cycle members as needed
• Working with Microsoft office and Electronic Health Records
• Performing other duties to support Revenue Cycle operations as needed
• Ensure payment for services by verifying benefits with insurance provider.
• Document all prior authorization information including approval dates, billing units, procedure codes, and prior authorization number in patient profile
• Review insurance denials and submit appeals (as permitted by payor)
• Schedules surgeries by making arrangements with the surgical center; verifying times with patients; and preparing charts and pre-admission and consent forms.
• Perform all other duties as assigned

• Experience with EMR (electronic medical records), medical terminology
• 1+ year experience working with medical insurance and/or prior authorizations