The Authorizations Coordinator (Remote after training) is responsible for efficiently obtaining authorizations for in-patient, out-patient, in-office, physical therapy, and injection services – and entering complete and accurate data into AllScripts Practice Management (PM) software.
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ESSENTIAL RESPONSIBILITIES:*
- Updates patient referrals and authorization information into Practice Management (PM) software system.
- Tracks all authorizations and obtains Letters of Protection on accident related cases.
- Assists with assigning correct CPT codes for authorizations on hospital surgeries.
- Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-9-CM and CPT codes.
- Provides technical guidance to physicians and billing staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
- Works closely with Surgical Coordinators to ensure all authorization timelines for hospitals, office visits, and injections are met.
- Performs other duties as assigned.
QUALIFICATIONS:
- High School Diploma
- Intermediate Medical Terminology with preferably three (3) years orthopedic spine and neck experience
- Proficiency in Microsoft Outlook, Word, Excel, Teams, Adobe Acrobat, and AllScripts EHR
- Five (5) years’ experience in a medical environment performing medical pre-authorizations preferred
- Ability to read and interpret medical procedures and terminology
- Utilizes good judgment, analytical thinking, and problem-solving skills
- Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff
- Ability to effectively understand, follow, and communicate oral and written instructions in English. Must read, write, and speak English fluently to ensure clear work-related communication and patient safety.
- Maintains strict levels of confidentiality and sense of urgency in meeting deadlines
- Permanently resides within thirty (30) miles of St. Petersburg, FL
INCLUSIVE, EQUAL OPPORTUNITY EMPLOYER
Job Type: Full-time
Pay: $20.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Weekly day range:
- Monday to Friday
- No weekends