Medical Authorization & Access Coordinator

PULMONARY MEDICINE ASSOCIATES; Roseville (CA); Vor Ort; USD 48.000 - 64.000; Vollzeit

Zusammenfassung

Pulmonary Medicine Associates (PMA) in Roseville, CA, is hiring an Authorization Specialist to coordinate procedures, obtain authorizations, verify eligibility, and maintain EMR documentation in a busy clinic setting. The role supports coordinating with hospitals, labs, and specialty services while communicating clearly with patients.

Requirements include a high school diploma or GED and 2 years of medical office experience preferred, plus knowledge of medical terminology and billing procedures.

Qualifikationen

• High school diploma or GED is required.
• Minimum of two years related work experience in a medical environment preferred.
• Knowledge of medical terminology and medical billing procedures.
• Excellent phone etiquette and verbal communication skills.
• Strong customer service skills and ability to work with patients and staff.
• Strong attention to detail and ability to maintain confidentiality.
• Ability to work independently and juggle multiple priorities.
• Ability to type 45 WPM accurately.
• California driver’s license and automobile insurance; travel to clinics may be required.

Aufgaben

• Schedule pulmonary procedures, diagnostic testing, and follow-up appointments as per physician orders and protocols.
• Obtain and track insurance authorizations and referrals for procedures and services.
• Verify benefits, eligibility, and authorization requirements.
• Submit authorization requests and follow up for timely approvals.
• Maintain documentation in the EMR and monitor authorization status.
• Coordinate procedures with hospitals, imaging facilities, and labs as needed.
• Communicate with patients about dates, referrals, requirements, and pre-procedure steps.
• Ensure required documentation and test results are available before procedures.
• Identify issues delaying care and escalate when needed.
• Reschedule procedures and inform patients and staff promptly.
• Collaborate with providers, nurses, and front-office staff to ensure efficient care.
• Protect patient confidentiality and maintain accurate scheduling and authorization records.
• Follow payer requirements and healthcare regulations.
• Perform other front office tasks as assigned.

Kenntnisse

Medical terminology

Medical billing knowledge

Phone etiquette

Customer service

Detail orientation

Confidentiality

Multitasking

45 WPM typing

Driver's license

Ausbildung

High school diploma or GED

Jobbeschreibung

Pulmonary Medicine Associates (PMA) in Roseville, CA, is hiring an Authorization Specialist to coordinate procedures, obtain authorizations, verify eligibility, and maintain EMR documentation in a busy clinic setting. The role supports coordinating with hospitals, labs, and specialty services while communicating clearly with patients.

Requirements include a high school diploma or GED and 2 years of medical office experience preferred, plus knowledge of medical terminology and billing procedures.