Medical Authorization & Benefit Specialist

Pain Specialists of America; Austin (TX); Sur place; USD 42 000 - 54 000; Plein temps

Résumé du poste

Pain Specialists of America seeks an Authorization Coordinator to ensure payor requirements are met for government, commercial, and workers' compensation plans. You will provide patient cost estimates and coordinate referrals and authorizations to secure timely payments.

In this fast-paced medical office, you will verify eligibility, input payor data into the EHR, and support billing workflows with accuracy and strong communication skills.

Qualifications

• High school diploma or equivalent.
• At least 3 years of work experience in a medical office business setting.
• At least 2 years of experience with medical insurance.
• Proficiency in MS Word, Excel, PowerPoint and Outlook.
• Must be organized and detail-oriented.
• Must possess excellent written and verbal communication skills.
• Must be able to multi-task in a fast-paced environment and meet deadlines.
• Knowledge of insurance terminology and concepts related to medical billing.

Responsabilités

• Verifies Eligibility and Benefits – Coordinate with patient’s medical coverage to ensure coverage is active and obtain benefits associated with plan as it pertains to the practice; inputs all payor demographic data into EHR system
• Obtains Referrals and Authorizations – Submit necessary requests for referrals and authorizations for all medical services including office visits, procedures, and DME; follows up with payors to ensure each patient scheduled has all items required to secure reimbursement; communicates with surgery scheduling regarding status of requests
• Produces Cost Estimates – Based on benefits obtained, creates and distributes cost estimates for all scheduled procedures; assists with incoming cost inquiries.

Connaissances

Organizational skills

Attention to detail

Written and verbal communication

Multi-tasking

Insurance terminology knowledge

Formation

High school diploma or equivalent

Outils

MS Word

Excel

PowerPoint

Outlook

Description du poste

Pain Specialists of America seeks an Authorization Coordinator to ensure payor requirements are met for government, commercial, and workers' compensation plans. You will provide patient cost estimates and coordinate referrals and authorizations to secure timely payments.

In this fast-paced medical office, you will verify eligibility, input payor data into the EHR, and support billing workflows with accuracy and strong communication skills.