Procedure Authorization Spcecialist

Job description

Monitors the authorizations of upcoming surgical cases on the physician’s calendars ensuring authorizations for surgeries are obtained in a timely and accurate manner. - Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing of claims to insurance plans. - Accurately completes surgical cost analysis form, documenting the required surgical cost estimation for collection prior to services. - Verifies benefits on all surgical procedures. - Document authorizations and progress of authorizations in the patient’s chart. Enters the authorization information within case management. - Must be able to communicate effectively with physicians, patients, and co-workers and be capable of establishing good working relationships with both internal and external customers. - Participate in providing ongoing training and education of staff as it relates to new processes to ensure timely confirmation of surgical cases. - Work with department manager to respond to and reduce complaints timely and professionally. - Assist surgery schedulers with STAT authorizations. - Ensure strict confidential...