Patient Authorization Coordinator

Amerita

The Patient Authorization Coordinator - Lead has primary responsibility for the timely clearance of new referrals. In addition, this position provides support and training for Patient Authorization Coordinator team members as well as other specialty intake staff as necessary.

Schedule:

Monday - Friday

9:00am - 5:30pm

no weekends

* Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance
* 401(k) Retirement Plan with Employer Match
* Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
* Employee Discounts
* Tuition Reimbursement
* Paid Time Off & Holidays

Obtains core initial authorizations and re-authorizations as required for branch
• Enters patient authorization information into the computer
• Generates tracking reports from CPR+ to assist with tracking of authorizations and daily Rx dispensing reports to identify changes in patient's therapy
• Communicates with other departments regarding the status of authorizations
• Understands which insurance providers have active contracts with Amerita
• Manages assigned statuses (Auth, Auth Pending) in the Ready to Bill
• Leads Patient Authorization Coordinator team in support of RCM to ensure billing and collections issues are researched and when possible, resolved
• Maintains confidentiality of patient and proprietary information
• Supports other branches as needed

• High School Diploma/GED or equivalent required; Associate's Degree or some college preferred
• Minimum two (2) years of experience collecting referral information in the healthcare market
• Experience working with all payer types, including Medicare, Medicaid and commercial insurance companies
• Knowledge of insurance verification and pre-certification procedures
• Understands the scope of services that Amerita can provide
• Strong verbal and written communication skills