Authorization and Insurance Coordinator I - Days

Job description

Full time (40 hours weekly) Monday-Friday 7:30am-4:)0pm: General Summary: Performs a variety of support functions for each assigned facility including, but not limited to, monitoring imaging and infusion schedules to ensure authorizations have been obtained and answering calls regarding referrals and authorizations; or, insurance verification, obtaining authorizations, mailing patient responsibility letters, and receiving payments through the mail. Possesses a working knowledge of insurance requirements and restrictions. Duties and Responsibilities: Essential Functions: - AUTHORIZATION DUTIES: • Performs online and telephone authorization verification for outpatient imaging procedures and infusion procedures. • Contacts provider offices to obtain authorizations and referrals as needed. • Obtains authorizations for outpatient imaging procedures ordered by the facility providers as needed. • Maintains appropriate documentation in Eclipsys and on the authorization spreadsheets. • Notifies imaging sites of financial waivers or ABN’s that must be signed at least two hours prior to testing or infusion. • Contacts patients the evening prior to their procedure if authorization is not obtai...