Payor Authorization & Benefits Specialist

Psadocs; Austin (TX); Hybride; USD 40 000 - 60 000; Plein temps

Résumé du poste

Psadocs is seeking an Authorization Coordinator to ensure payor requirements are met and to provide patient cost estimates for procedures. The role requires deep knowledge of government, commercial, and workers' compensation payors and strong communication skills.

Responsibilities include verifying eligibility and benefits, obtaining referrals and authorizations, and producing accurate cost estimates based on plan benefits, with meticulous attention to detail in a fast-paced medical office

Qualifications

• High school diploma or equivalent.
• Minimum of three years of work experience in a medical office business setting.
• Minimum of two years of experience with medical insurance.
• Proficient 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

Eligibility coordination

Authorization management

Cost estimation

Verbal communication

Written communication

Multi-tasking

Attention to detail

Formation

High school diploma or equivalent

Outils

MS Word

Excel

PowerPoint

Outlook

Description du poste

Psadocs is seeking an Authorization Coordinator to ensure payor requirements are met and to provide patient cost estimates for procedures. The role requires deep knowledge of government, commercial, and workers' compensation payors and strong communication skills.

Responsibilities include verifying eligibility and benefits, obtaining referrals and authorizations, and producing accurate cost estimates based on plan benefits, with meticulous attention to detail in a fast-paced medical office