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Golden Bear Physical Therapy

Authorization Coordinator

Golden Bear Physical Therapy, Modesto, California, United States, 95351


Overview:

Starting Hourly: $18.00 per hourGolden Bear Physical Therapy, a member of Therapy Partners Group, has been the premier provider for outpatient orthopedics serving?the Central Valley, El Dorado County, and surrounding communities for over 40 years. We are known for providing the highest quality individualized care for our patients and our team of highly skilled physical therapists?who?are passionate about helping patients achieve their goals.Currently, we are looking for a full time Authorization Coordinator for our 305 Banner Ct location in Modesto.Responsibilities:ESSENTIAL ACCOUNTABILITIESMonitors and manages authorization dashboard to identify and work outstanding authorizationsAccurately submits authorizations to the payor/insurance on file with all required supporting documentsPerforms timely follow-up on submitted authorizationsInputs authorizations accurately into patient account when receivedMake necessary corrections and/or additions to current authorizationsCommunicate with referring MDs and treating therapist for missing or needed information to complete or submit authorization request.Provides timely communication with clinic/treating therapist when authorization is not on file for an upcoming visit or authorization is denied.Scan/Upload all forms completed and approved/denied authorizations into patient chartMaintains detailed notes in patients electronic records of all communications and actions takenDaily follow-up and completion of tasks as required by workflow assignmentsAttempt to obtain retro authorization as neededMaintains HIPAA Compliance of PHIPerforms other duties that may be assigned

Qualifications:Knowledge, Skills, and AbilitiesThorough working knowledge Microsoft OfficeAbility to identify and problem solveMust be organized and able to manage multiple prioritiesAbility to communicate complex information in a well thought-out, easily understood manner, both orally and in writing in a variety of settings and stylesAbility to communicate in an honest, direct, and professional manner, relating well to others to build rapport and effective relationshipsAbility to demonstrate active listening by asking clarifying questions, identify and share relevant information and solicit feedback from others and give and receive feedback objectivelyAbility to model a strong commitment to quality and cost-effective administration of TPG (Therapy Partners Group)Ability to identify and recommend improvements to assigned areas of functionality.Education and ExperienceEducation : High school diploma. Related experience in healthcare may substitute for up to two years of the education requirement.Experience : The individual selected must have a minimum of 2 years of experience in health care or a similar industry.Physical Requirements and Working ConditionsRequires prolonged sitting, some walking, bending, stooping, reaching, and stretching. Requires hand-eye coordination and manual dexterity sufficient to operate a keyboard, mouse, photocopier, telephone, calculator, and other equipment. Requires normal range of hearing and eyesight to record, prepare and present reports.#LI-MS1#tpgpt