• AUTHORIZATION COORDINATOR

    Posted Date 1 month ago(1 month ago)
    Requisition ID
    2018-8815
    # of Openings
    1
    Department
    PATIENT FINANCIAL SERVICES
    Location Name
    Baptist Business Operations Center
    City
    Pensacola
    Category (Portal Searching)
    Administrative/Clerical
    Position Type
    Full-Time
    Schedule
    Day Shift
    Schedule Details
    4 ten hour shifts, 1 weekend a month
  • Overview

    The Authorization Coordinator is responsible for creating and maintaining current insurance verification, admission notifications, and/or pre-certifications for services provided to all bedded patients within the Baptist Health Care hospital system, including services rendered by BHC’s employed physician enterprise. These functions include: verifying insurance eligibility for all payers, creating an estimate for out of pocket patient expense, making notification of admission to the facility for both the hospital and the physician enterprise (as applicable), maintaining the authorization with the payer throughout the entire length of stay, working closely with Case Management to request clinical information to be faxed to the payer for utilization review, and obtaining prior authorizations from all providers when inpatient surgeries. The Authorization Coordinator  will also work closely with Case Management’s discharge planning team to obtain prior authorizations for the BHC Senior Health program when patients are discharged from a BHC facility to a skilled nursing managed by our organization, to protect the reimbursement of the downstream department. This position will utilize numerous patient access and financial services systems in order for patient demographics and authorization information to be maintained consistently throughout all.  

     

    The person in this position works under general supervision, is responsible for various shifts, may be subject to over 40 hours per week and/or callback as required, and may also be required to remain on campus immediately before, during, and after severe weather and/or disasters.

    Qualifications

    Requirements for Authorization Coordinator:

    • High School Diploma or General Education Degree required.
    • Six (6) months of relevant (healthcare administrative function) experience. Six (6) months of medical billing and/or insurance collections experience preferred.
    • Must be able to demonstrate ability of the following: Medical Terminology, Written communication skills, Verbal communication skills, Medicare regulations, Coding, Specific applications to use PC applications to achieve work goal, Office applications: email, fax module, scan PDF, Fast paced work environment, Meeting deadlines, Organized, Time management, Conforming to standards Phone customer service, Registration, Healthcare financial regulations, Interpreting insurance coverage and reimbursement, Patient privacy, Coordination patient needs with various service levels, Works well within a team structure.

    Requirements for Authorization Coordinator II:

    • High School Diploma or General Education Degree required.
    • Two (2) years of relevant (healthcare administrative function) experience. Six (6) months of medical billing and/or insurance collections experience required.
    • CRCS-I or P or CHAA Certification is required

     

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