Authorizations Coordinator

Responsibilities

• Respond to incoming referrals, verify demographic and insurance information, and assess the organization's ability to meet patient needs
• Retrieve and secure insurance authorizations and document all interactions per policy
• Review authorizations to ensure proper coding (including modifiers) and coverage
• Request, track, and obtain pre-authorization from insurance carriers
• Collaborate with Billing Department on account updates and authorization activity
• Assist with denials by obtaining clinical information, ICD-10 coding, or other details to correct errors
• Communicate with referral sources, patients, and internal teams to resolve issues and provide alternative resources when needed
• Conduct courtesy follow-ups, participate in training, and ensure compliance with policies and values
• Maintain charts, records, and databases of patient authorizations
• Stay informed on authorization requirements for all payors and regulatory guidelines

• High School Diploma or GED required
• 1-3 years of billing and/or accounts receivable experience
• Strong knowledge of payer guidelines related to claim submission
• Familiarity with payer websites and billing resources
• Basic medical coding/terminology and insurance practices
• Proficiency in MS Office and ability to learn agency-specific software
• Solid phone communication with empathy, patience, and professionalism
• Ability to work independently, manage time effectively, and quickly learn program structures and procedures

Why this job is AWESOME:

Join us and you will see...we don t do things like everyone else. We are the newest and fastest growing in popularity for mobile healthcare servicing long-term care facilities. It s no secret how we re accomplishing this... it s our incredible team members and the winning culture we re building!

If you are looking for an amazing practice to work for, grow, learn, and have a blast - this is it.

• Great team! We spend a ton of time hiring and training the best people
• Great pay! We pay very well
• Great opportunities! We re growing and we like to promote from within. If you re a true rock star, the opportunities are limitless!