Authorization Coordinator -PAMF

Description The authorization coordinator position is responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtain authorization for test, therapies or referral to specialist and document in the patient electronic medical record. This position will facilitate responses to patient and provider inquiries regarding authorizations and referrals within turnaround standards.The authorization coordinator position is responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtain authorization for test, therapies or referral to specialist and document in the patient electronic medical record. This position will facilitate responses to patient and provider inquiries regarding authorizations and referrals within turnaround standards. Referral Entry Functions Monitor and resolve referral/authorization orders in the Referral Pool in Epic in a timely manner Monitor daily urgent and pending referrals to ensure timeliness standards are met and customer service is maximized according to standard workflows Ensure completeness and accuracy of referrals by confirming CPT, ICD and/or HCPCS codes, requested provider, and/or place of service Verify insurance is accepted by the Foundation for all incoming referrals Obtain added medical information from providers and/or office staff as necessary for incoming referrals Process referrals per standard work Process referrals per health plan contracts and requirementsRequirements Education: High school diploma or equivalent required. Completion of a certified coding program or graduate of aCAHIM accredited HIT program required. Employee must be able to work independently as well as part of a teamEmployee must be able to work independently as well as part of a team Excellent organizational, interpersonal and oral communication skills are required Tact and diplomacy with patients, providers, and staff for sensitive matters Strong ability to multi-task Ability to maintain organized recordsRobert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https:///www.roberthalf.com/us/en/terms) .