Complex Case Insurance Authorization Coordinator

Complex Case Insurance Authorization CoordinatorUnder general supervision of a licensed provider, as a Complex Case Insurance Authorization Coordinator one must perform insurance authorizations for complex surgical procedures such as SCS trials and implants, Vertiflex implants, SI Joint Fusions, NALU/Sprint Peripheral Nerve Stimulators, Intracepts, VIA DISCs, etc. We are seeking motivated individuals who can problem-solve and multitask as we are a fast-paced practice. Gain skills and knowledge of organization policies and procedures in support of the department.This job is a full-time, benefited position at Summit Spine & Joint Centers that reports to the Director of Operations.

This position's primary location will be at the Administrative Building in Lawrenceville, GA.ResponsibilitiesRoutinely provide patients with other clinic and community-based resource materials as appropriate.Research, follow up and resolve open & pending procedure authorizations in a timely mannerVerify insurance eligibility and benefits of prospects/referralsComfortable working in a growing organization and able to navigate change.Address insurance related patient concernsSelf-motivated with the ability to multi-task and prioritize work in a fast-paced team environmentReview schedule ahead of time to determine pre-certification and prior authorization requirements.Obtain authorizations by using online applications or by contacting insurance company directly.Must be familiar with Medicare and Commercial Insurances.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.Skills And AbilitiesMust be personable and detail oriented as a representative of the practice while callers rely on proper informationExcellent verbal and written skills for proper documentation of encounters.Bilingual candidates are encouraged to applyEducation And ExperienceMinimum 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 requiredAuthorization portal experience preferredExperience in Pain Management preferredExperience using eClinicalWorks preferred