The Insurance Authorization Coordinator I is responsible for obtaining authorizations for hospital-based and/or physician-based services.
The Coordinator utilizes work queues & other mechanisms to initiate the authorization and/or referral, follow-up, monitor appointments add-ons, and document any changes available for the initial authorization and/or referral request. Authorizations/Referrals for services are to be completed based on the departmental goals and guidelines set. The position is required to utilize all available resources to verify eligibility, authorization requirements and plan benefit levels. Detailed benefit collection process to ensure capture of patient responsibility to include all financial out to pocket cost to patient/parent. Process supports and ensures more accurate financial collections.
Primary Responsibilities:
Authorization Coordination: Ability to request and obtain preauthorization for assigned specialties and ability to ...