Pay: $22-25/hour Schedule: Monday through Friday 8:30AM – 5:00PM Requirements: • High school diploma or equivalent • 1+ year of insurance verification experience is required • 1+ year of authorization experience is required • Knowledge of current ICD and CPT guidelines • EMR experience (practice uses eClinicalWorks, NaviNet, Helio – training provided) • Orthopedic/Pain Management experience highly preferred Responsibilities: • Responsible for monitoring incoming patient orders and gathering information needed to complete the pre-authorization and scheduling for an order • Obtain authorizations for all diagnostic imaging, orthotics, DME, EMG studies, and hyaluronic acid injections directly or by submitting documentation to facility or vendor • Contact patients as necessary to advise on scheduling • Direct and timely contact with providers, MAs, PCCs, in regard to patients authorization status • Review and notify provider of denials, appeal as needed, assist in setting up peer-to-peers • Perform verification of patient’s insurance preferred drug prior to authorization request • Obtain and coordinate delivery of injection medication from pharmacy for all commercial insurance and physicians in the practice • Ensure all verification of customers insurance benefits is completed and updated • Notify customers of deductibles, authorization approvals and co-insurance due • Regularly call insurance companies to follow up on patient status and claims • Always keep sensitive customer and company information confidential • Contact customers to obtain any outstanding information • Learn and understand all aspects of revenue cycle responsibilities and participate in a cross-training session • Coordinate authorizations for customers with PIP claims • Cross-train to support and perform all aspects of back office and cover other assignments when requested by management • Receive calls related to authorizations, whether from patients or insurance companies • Review incoming telephone encounters • Review incoming faxes #toponehire