Authorization Coordinator (Visco Injections)

The Center for Orthopedic and Research E
Newtown Square, PA, US
Full-time

Job Description

Job Description

Join our Team at Premier!

Title : Authorization Coordinator (Visco Injections)

Location : Greater Philadelphia area office, on site at one of our locations.

Schedule : Monday-Friday 8 : 00am-4 : 30pm

About Us :

Premier is a leading orthopedic practice committed to diagnosing and treating a wide range of orthopedic injuries and conditions.

We operate in over 50 locations and have more than 70 physicians dedicated to providing exceptional care across the Greater Philadelphia area.

With a team of nearly 1,000 employees, we thrive in a supportive environment that prioritizes collaboration and patient satisfaction.

What We Offer :

  • Comprehensive benefits, including medical, vision, and dental plans, 100% employer-paid life insurance, and a 401(k) match.
  • Generous paid sick and vacation time.
  • 7 Paid Holidays per year.
  • Flexible work hours.
  • Excellent opportunities for growth and advancement.
  • Employee referral reward program.

ESSENTIAL FUNCTIONS

  • Monitors the authorizations of upcoming injections on the physician’s calendars ensuring authorizations for Viscosupplementation (Visco) injections are obtained in a timely and accurate manor.
  • 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 Visco injection cost analysis form, documenting the required cost estimation for collection prior to services.
  • Verifies benefits on all Visco injections.
  • Document’s authorizations and progress of authorizations in the patient’s chart. Enters the authorization information within case management.
  • Participate in providing ongoing training and education of staff as it relates to new processes to ensure timely confirmation of Visco injections.
  • Work with department manager to respond to and reduce complaints timely and professionally.
  • Assist with STAT authorizations
  • Ensure strict confidentiality of all health records, member information, and meet HIPAA guidelines.

QUALIFICATIONS

  • High school diploma / GED or equivalent working knowledge preferred.
  • Minimum of 2 years’ experience in healthcare field is required and previous experience in referrals / authorizations, front office, and / or charge posting is preferred.
  • Excellent organizational skills and strong customer service orientation are required with strong background with computers and data entry.
  • Working knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers and other funding sources.
  • Skill in effective organization and billing requirements and authorization processes.
  • Ability to understand patient demographic information and determine insurance eligibility.
  • 1 day ago
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