Job Summary
Responsible for securing insurance authorizations for patients and performs pre-registration and scheduling functions for hospital visits and procedures.
Job Specific Duties
- Secures insurance authorization for all outpatient and diagnostic testing, consultation, and outpatient procedures.
- Schedules appointments and procedures, verifies medical appointments, and processes medical documentation.
- Coordinates the collection and submittal of additional insurance information from clinical/support staff.
- Escalates any authorization issues and coordinates peer-to-peer review.
- Coordinates with clinical team and communicates managed care requests via established workflows.
- Documents adequate and accurate records of insurance notes and authorizations.
- Answers telephones, routes calls to appropriate staff, takes accurate phone messages, and relays messages to staff.
- Follows-up with patients for return visits, missed appointments, and cancellations.
Minimum Job Requirements
- 2-4 years Medical insurance and billing experience
- Previous physician office or ambulatory experience
Knowledge, Skills, and Abilities
- High school education or equivalent preferred
- Bilingual in English/Spanish preferred.
- Excellent customer service skills.
- Critical thinking skills needed