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