Authorization Coordinator

Job Description:

• Process referral requests for patients to achieve timely and accurate determinations
• Work within scope of practice to complete or forward requests to Managed Care physicians and/or nurses according to Utilization Management protocols
• Maintain required turnaround times for referral completion
• Assist providers and patients with referral status questions
• Participate in developing and implementing improvements to referral processes and workflows

Requirements:

• HS Diploma or GED
• Knowledge of medical terminology
• Knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD)-9 coding
• Competency using MS Office Excel and Word and other Managed Care programs
• Ability to identify, understand, and solve problems related to claims and referrals
• Communication skills, including understanding medical concepts, organizing thoughts, and communicating issues concisely and effectively
• Proven ability to quickly adjust to changing projects and priorities and to multitask
• Organizational skills
• Monday-Friday availability
• Ability to work an 8-hour shift
• Base pay may vary based on work location, experience, education, skills, licensure, certifications, training, and organizational needs

Benefits:

• Comprehensive benefits package
• Eligible positions include a comprehensive benefits package