Authorization Coordinator - Scott Ortho (Full Time) - 7151

Marshall Health Network, Inc.; Huntington (VA); On-site; USD 21,000 - 30,000; Full time

Job summary

St. Mary's Medical Center in Huntington, VA is seeking a full-time Authorization Coordinator who will identify and capture source documentation for coding procedures, injections, tests and surgeries, and manage the prior authorization process.

You will answer inquiries from insurers, document approved CPT/diagnosis codes and dates of service, and communicate authorization details to the procedure team. A high school diploma and 1 year of billing or clinical experience are preferred.

Qualifications

• High School diploma or equivalent.
• 1 year of billing or clinical experience preferred.
• Experience with prior authorization is a plus.

Responsibilities

• Uses electronic/manual systems to collect source docs for coding procedures, injections and surgeries.
• Answers calls/inquiries from insurers to assist in prior authorization for procedures.
• Performs precertification for scheduled procedures and communicates balances to patients.
• Documents authorization details in patient records, including CPT/diagnosis codes and dates.
• Works with VA and Workers' Comp case workers to obtain authorizations and claim numbers.

Skills

Communication

Customer service

Prior authorization

Healthcare billing

Education

High School diploma or equivalent

Job description

Authorization Coordinator - Scott Ortho (Full Time) - 7151

#16535

Job Description

St. Mary's Medical Center is seeking a full timeAuthorization Coordinatorwho:

• Utilizes the necessary electronic and manual systems to identify and capture source documentation needed for the coding of ordered procedures, injections, tests, surgeries, etc.
• Answers phone calls and//or inquiries from insurance carriers or other parties to assist in the prior authorization for scheduled procedures as necessary
• Performs the precertification process for scheduled procedures as necessary, including communication of any balances due to the patient
• Communicates and appropriately documents the details of the procedure authorization. Includes information such as approved CPT code, diagnosis code and date of service range to entity performing the procedure and documents details of authorization in the patient medical record per approved protocols
• Performs other duties as assigned or requested
• Works directly with VA and Workers' Comp. case workers to obtain authorizations and claim numbers for procedures, testing, injections and surgery.

Requirements

Education: High School diploma or equivalent

Experience:1 year of billing or clinical experience in a health care organization preferred.

This Company is an Equal Opportunity Employer, and does not discriminate on the basis of race, gender, ethnicity, religion, national origin, age, disability, veteran status, or on any other basis prohibited by law. Information on race, gender and national origin will only be used for statistical and recordkeeping purposes, and will not be used in making any employment decisions. All information provided will be kept separate from your expression of interest. Providing this information is strictly voluntary, and you will not be subjected to any adverse action or treatment if you choose not to provide this information. If you do not choose to answer these questions, we ask that you select "Decline to Identify" for each question. Thank you for your voluntary cooperation.