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Job Description

DYNAMIC Pain & Wellness is looking for an experienced Authorizations Coordinator.

• Must be available from the hours of 8 am-5 pm CT Monday – Friday
• Able to multitask between phone calls, emails, and active chats throughout the day
• Manage correspondence with insurance companies, physicians, specialists and patients as needed, including documenting in the EHR as appropriate
• Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
• Review accuracy and completeness of information requested and ensure that all supporting documents are present
• Review denials and follow up with provider to obtain medically necessary information to submit an appeal of the denial
• Receive requests for prior authorizations through the electronic health record (EHR) and/or via phone or fax and ensure that they are properly and closely monitored
• Using knowledge of required authorizations, maintain tracker of all procedures requiring auth and pertinent details
• Ability to use portals to verify active insurance and coverage types, determining patient responsibility and OOP
• Follows up on all referrals to ensure no care gaps
• Ensure authorizations are available prior to patient appointments and in patient chart
• Ability to maintain good relationships with patients, providers and coworkers
• Communicate patient's financial obligations if applicable
• Update demographic information as necessary
• Informs appropriate staff/patient of authorizations/referral requirements
• Staying current with insurance requirements, maintaining trackers with denied claims and problem solving as applicable
• Comply with corporate policies, goals and objectives, accept constructive criticism, establish goals and objectives, and exhibit initiative and commitment
• Ability to work hand in hand with 3rd party RCM company

• Self-starter with the ability to work independently and as part of a medical office team
• Strong Attention to detail with a high degree of accuracy
• Ability to prioritize and multi-task when presented with multiple duties
• Excellent math skills
• Experience: Two years experience in a medical facility
• Education: Bachelor's in medical Admin, Healthcare Administration or Associate with 5 years' experience
• Follow up on missing or inaccurate information including coordination with clinical staff and physicians
• Strong organizational skills with great attention to detail
• Working knowledge of medical terminology, and correct spelling of medications
• Strong grammatical skills
• Proficient on computer and typing, use of Google Apps
• Communication Skill
• Strong customer service skills

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