Point Health

• Review, verify, code, and process vendor invoices for payment. • Reconcile vendor statements and resolve invoice or balance discrepancies. • Obtain missing invoices and supporting documentation. • Maintain vendor records, including obtaining W-9s. • Download and prepare corporate credit card transactions for import into Sage Intacct. • Code credit card charges and obtain supporting receipts. • Assist with month-end close activities, including accruals. • Perform other related duties as assigned.

• Collect and review documentation required for prior and retro authorization requests. • Review payer medical necessity guidelines and authorization requirements. • Communicate with practices to obtain additional information needed for procedures and medication requests. • Navigate payer portals and monitor provider and clinic communications to ensure timely responses. • Document account activity and maintain accurate patient and claim information. • Monitor procedure trackers and assist leadership in identifying workflow gaps. • Serve as a subject matter expert on medical policies, departmental procedures, and affiliate workflows. • Lead team huddles, distribute meeting notes, and assist with team training, mentoring, audits, and cross-coverage. • Support new practice and procedure integrations, including workflow and SOP development. • Identify authorization trends or issues that may delay claims processing and recommend solutions. • Collaborate with practices, vendors, insurance carriers, patients, management, and internal teams. • Provide outstanding customer service and support throughout the department. • Perform other related duties as assigned.

• Manage the entire authorization process for interventional pain management procedures • Monitor advanced procedure trackers for each practice to identify authorization opportunities • Collect all required documentation for prior authorizations • Review medical necessity guidelines for procedures by Paycor • Accurately and promptly submit prior and retro authorization requests to payors • Document account activity, updating patient and claim information to ensure efficient claim processing • Identify trends or issues that delay authorization or claims processing • Communicate with practices, vendors, insurance companies, patients, and management to secure necessary approvals • Provide the highest level of customer service to internal teams • Serve as a backup to the Contact Center Team during peak scheduling call times • Perform other related duties as assigned to support smooth operations and patient care continuity