Authorization / Referral Coordinator Jobs

General/Vascular Surgery Division

The authorization coordinator will be responsible for obtaining all scheduled vascular studies, and in office surgical procedures, verifying insurance eligibility and coverage and confirming appointments

Responsibilities

• Ensures compliance with appropriate industry, state, and federal regulations
• Assists with medical necessity documentation to expedite approvals and ensure the appropriate follow-up
• Collaborates with other departments to ensure documentation is received prior to services
• The candidate must be well organized, detail oriented, efficient, dependable with excellent time management and computer skills
• Performs other duties as assigned
• Safeguards strict confidentiality of all health records, member information, and meets HIPAA guidelines
• Secures insurance information, eligibility, benefits and authorizations for specific testing
• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing of claims to insurance plans
• Responsible for identification and authorization of all codes that may be used throughout complex and variable patient treatments
• Ensures all updates to documentation in patient’s file are completed in a timely manner
• Documents authorizations and progress of authorizations in the patient’s chart
• Monitors upcoming vascular department schedule, obtains authorizations and confirms appointments

Requirements

• Vascular experience preferred
• 1+ years of insurance authorization experience required

• Athena experience preferred
• Demonstrated ability to analyze data and work independently within a fast-paced work environment
• Excellent organizational and prioritization skills
• Outstanding written and verbal communication skills, with close attention to detail
• Working knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers and other funding sources
• Proficiency in various computer applications

Why Join Us?

At Shore Physicians Group, we work hard and take pride in accomplishing our mission statement of “Treating People Well”. We are looking for employees who strive to be the best in their field and enjoy exchanging knowledge in an interactive environment.

Shore Physicians Group offers a professional, enjoyable work environment, and generous benefits including:

• 401(k) matching
• 401(k)
• Free Parking
• Life insurance
• Local community employee discounts
• Paid time off
• Flexible schedule
• Certification reimbursement
• Medical/Dental/Vision insurance
• Tuition reimbursement
• Referral incentive program

Additional Information

• This job description should not be construed as an exhaustive statement of duties, responsibilities or requirements, but a general description of the job. Nothing contained herein restricts the company's rights to assign or reassign duties and responsibilities to this job at any time.
• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required.
• Shore Physicians Group is an Equal Opportunity Employer.

Location: Shore Medical Center · General Surgery SSCMD
Schedule: Temporary, Days, 8am-5pm