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Mambo Seafood Restaurants

Insurance Authorization Coordinator

Mambo Seafood Restaurants, Lawrenceville, Georgia, United States, 30243

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Overview

Insurance Authorization Coordinator role at Summit Spine and Joint Centers This full-time position reports to the Insurance Manager and includes benefits. The role requires attention to detail, strong communication, and the ability to problem-solve in a fast-paced clinical setting. Responsibilities

Obtain insurance authorizations for surgical procedures by using online applications or by contacting insurance companies directly. Address insurance-related patient concerns and questions. 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. Review the schedule in advance to determine pre-certification and prior authorization requirements. Be familiar with Medicare and Commercial Insurances. Adapt to a growing organization and navigate changes as needed. Perform other insurance duties as assigned. Skills and Abilities

Personable and detail-oriented as a representative of the practice with accurate information for callers. Excellent verbal and written communication for proper documentation of encounters. Bilingual candidates are encouraged to apply. Education and Experience

Minimum of 2 years' experience in an outpatient medical office, working in an Insurance Authorization or Pre-Authorization/Certification role. Strong knowledge of CPT coding, ICD-10 coding, and medical pre-certification protocols. Authorization portal experience required. Experience with Pain Management Authorizations preferred. EMR/EHR experience required. Job Details

Employment type: Full-time Seniority level: Entry level Job function: Other Industries: Medical/Health Services Location: Lawrenceville, GA

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