Medical Authorization Coordinator

hace 2 días


Medellín, Antioquia, Colombia RVStaffing A tiempo completo

Medical Authorization Coordinator

We are seeking an experienced Medical Authorization Coordinator to join our team at RedValley. As a Medical Authorization Coordinator, you will be responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with other providers, transcribing and triaging patient calls to physicians, and coordinating patient appointments/orders.

Key Responsibilities:

  • Review chart documentation to ensure the patient meets medical policy guidelines
  • Prioritize incoming authorization requests according to the urgency
  • Obtain authorization via the payer website or by phone and follow up regularly on pending cases
  • Maintain individual payer files to include up-to-date requirements needed to successfully obtain authorizations
  • Initiate appeals for denied authorizations
  • Respond to clinic questions regarding payer medical policy guidelines
  • Confirm the accuracy of CPT and ICD-10 diagnoses in the procedure order
  • Contact patients to discuss authorization status

Requirements:

  • Strong spoken and written English B2+
  • 1+ Years of Experience in prior authorizations
  • 3+ Years of Experience in the healthcare industry
  • Experience with procedure authorizations in any medical field
  • Basic typing and keyboarding skills
  • Strong oral and written communication skills
  • Highly detail-oriented
  • Basic understanding of human anatomy, specifically musculoskeletal
  • Proficient use of CPT and ICD-10 codes

We Offer:

  • Opportunities to work in a fast-paced startup environment supportive of teamwork, ownership, and purpose
  • Flexible working environment (flexible working hours, working from our state-of-the-art office space)
  • One-of-a-kind company values and teamwork culture as well as a meaningful mission and challenging work
  • Private health insurance for you plus a family member
  • Great discount on lunch with our partnered restaurants

Job Type: Full-time

Application Question(s):

  • Could you please rate your English proficiency on a scale of 1 to 10?

Experience:

  • Prior Authorization: 1 year (Preferred)
  • Healthcare: 2 years (Preferred)


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