Complex Case Insurance Authorization Specialist

Summit Spine & Joint Centers; Lawrenceville (GA); On-site; USD 45,000 - 60,000; Full time

Job summary

A multi-state healthcare organization is seeking a Complex Case Insurance Authorization Coordinator in Lawrenceville, GA. This full-time role involves processing insurance authorizations for surgical procedures, maintaining organized files, and addressing patient concerns. Ideal candidates will have at least 2 years of outpatient medical office experience, excellent communication skills, and a solid understanding of insurance protocols. Join our team to support high-quality patient care in a dynamic environment.

Qualifications

• Minimum of 2 years' experience in an outpatient medical office, preferably in Insurance Authorization.
• Excellent knowledge of CPT coding and ICD.10 coding is required.
• Familiarity with Medicare and Commercial Insurances is a must.

Responsibilities

• Process insurance authorizations for complex surgical procedures.
• Research and resolve pending procedure authorizations timely.
• Coordinate patient financial responsibilities related to service.

Skills

Detail-oriented

Excellent verbal and written communication

Bilingual

Problem-solving

Multi-tasking

Education

2 years' experience in outpatient medical office

Knowledge of CPT and ICD.10 coding

Experience in Insurance Authorization

Tools

eClinicalWorks

Authorization portals

Job description

A multi-state healthcare organization is seeking a Complex Case Insurance Authorization Coordinator in Lawrenceville, GA. This full-time role involves processing insurance authorizations for surgical procedures, maintaining organized files, and addressing patient concerns. Ideal candidates will have at least 2 years of outpatient medical office experience, excellent communication skills, and a solid understanding of insurance protocols. Join our team to support high-quality patient care in a dynamic environment.