Prior Authorization Coordinator
Location
United States
Posted
2 days ago
Salary
$19 - $21 / hour
Seniority
Junior
Job Description
Prior Authorization Coordinator
Point Health
• 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
Job Requirements
- High School Diploma or GED (required)
- Minimum of 1 year of prior authorization and clinical setting experience (required)
- Experience working within Pain Management required
- Proficient in Microsoft Office Suite
- Strong analytical and problem-solving abilities
- Excellent organizational skills and attention to detail
- Knowledge of HIPAA privacy and security requirements
- Basic understanding of medical terminology
- Familiarity with payor portals and medical policy navigation
- Must be able to sit for extended periods, communicate clearly, perform computer-based tasks, occasionally lift up to 25 lbs, and maintain close vision, depth perception, and focus adjustment.
Benefits
- Health, Dental & Vision Insurance
- Accident and Life/AD&D Insurance
- Short & Long-Term Disability
- Emergency Travel Assistance Program
- ID-theft Protection Services
- LifeMart Employee Discount Program
- Health Savings Account (HSA)
- Health Management Tools
- Paid Time Off (PTO)
- Company Paid Holidays
- Paternal Leave
- 401(k) Retirement Plan
- Remote Stipend
- Travel Reimbursement
- Continuing Education Reimbursement
- Bonusly (employee recognition platform)
- DailyPay (on-demand pay access)
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