Medical Insurance Authorization Specialist - Complex Cases

Surgical Center Solutions, LLC; Lawrenceville (GA); On-site; USD 38,000 - 52,000; Full time

Job summary

Summit Spine and Joint Centers in Lawrenceville, GA, seeks a Complex Case Insurance Authorization Coordinator to perform authorizations for complex surgical procedures, such as SCS trials and implants, Vertiflex implants, SI Joint Fusions, NALU/Sprint PNS, and other advanced interventions. This full-time role supports a fast-paced practice under general supervision of a licensed provider.

The position’s primary location is the Administrative Building in Lawrenceville, GA.

Qualifications

• 2+ years' experience in an outpatient medical office, working in an Insurance Authorization or Pre Authorization /Certification role.
• Excellent knowledge of CPT coding, ICD-10 coding and medical pre-certification protocols.
• Experience with eClinicalWorks preferred.
• Authorization portal experience preferred.

Responsibilities

• Routinely provide patients with clinic and community-based resource materials as appropriate.
• Research, follow up and resolve open & pending procedure authorizations in a timely manner.
• Verify insurance eligibility and benefits of prospects/referrals.
• Coordinate and document all financial responsibilities related to patient deductibles, coinsurance, and copays owed at the time of service.

Skills

Multitasking

Attention to detail

Communication skills

Bilingual

Tools

eClinicalWorks

Authorization portals

Job description

Summit Spine and Joint Centers in Lawrenceville, GA, seeks a Complex Case Insurance Authorization Coordinator to perform authorizations for complex surgical procedures, such as SCS trials and implants, Vertiflex implants, SI Joint Fusions, NALU/Sprint PNS, and other advanced interventions. This full-time role supports a fast-paced practice under general supervision of a licensed provider.

The position’s primary location is the Administrative Building in Lawrenceville, GA.