Prior Authorization Coordinator - 11am-8pm

Job description

- Ensures quality and accuracy of the patient insurance information and that listed certification periods, billing addresses, policy numbers, authorization numbers, etc. are all entered correctly. - Prioritizes and processes incoming Insurance Verifications and Prior Authorization requests. - Verify the patient’s Medicaid, private insurance, and self-pay payor sources via telephone, or online systems. - Obtain authorization from private insurance and all other payor sources requiring authorization via telephone, facsimile, or online systems while maintaining compliance to medical record confidentiality regulations. - Maintains authorizations extension for all patients as appropriate. - Refers authorization requests that require clinical judgment to Prior Authorization Supervisor and clinical support staff. - Obtain information from agencies when necessary to assist with receiving authorizations and re-authorizations from private insurance and all other payor sources. - Assist other departments and Care Centers in the efficient collection of client and payor information to ensure accuracy. - Enter all hospice benefit information into Registration Tool and patient accounting system....