Surgery Authorization Specialist

Job description

ESSENTIAL FUNCTIONS: · 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. · Ens...