Insurance Authorization Coordinator

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