Insurance Authorization Coordinator Job at Robert Half (Saco, Maine)

Insurance Referral Coordinator

This role is pivotal within the healthcare industry, where you will be coordinat...

Location

United States , Mount Vernon

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proficiency in using Allscripts software
Experience with Cerner Technologies
Proficient in Customer Relationship Management (CRM) software
Familiarity with Dentrix Dental Software
Knowledge of Eaglesoft software
Ability to handle Answering Inbound Calls
Experience with Authorizations in an insurance setting
Understanding of Benefit Functions within an insurance framework
Knowledge of Billing Functions pertinent to insurance
Experience in Claim Administration within an insurance context

Job Responsibility

Accurately scheduling patients for prescribed referrals
Assisting patients in navigating through referrals and insurance authorizations
Answering patient inquiries appropriately, whether in person or via telephone
Delivering high-quality customer service to patients
Utilizing various software such as Allscripts, Cerner Technologies, CRM, Dentrix Dental Software, and Eaglesoft to manage tasks
Handling authorizations and benefit functions
Administering claims and overseeing billing functions
Receiving and responding to inbound calls
Ensuring tasks and competencies specific to the location/department are fulfilled

What we offer

medical
vision
dental
life and disability insurance
eligibility to enroll in company 401(k) plan

Fulltime

Authorization Coordinator

Join our growing team as an Authorization Coordinator! Full Time with Career Adv...

Location

United States , Wallingford

Salary:

18.00 - 24.71 USD / Hour

Meriden, Connecticut.

Expiration Date

Until further notice

Requirements

High School Diploma or equivalent
Experience working in a call center preferred
Experience providing customer service in a healthcare setting preferred
Experience/proficiency working with Electronic Health Records (EPIC experience) preferred
Must have a friendly and caring attitude with empathy for each patient
Excellent interpersonal, analytical, communication, and problem-solving skills
Must be willing to take on new tasks when operational needs arise
Must be committed to maintaining strict confidentiality in compliance with HIPAA

Job Responsibility

Responsible for working any order that drops into the authorization coordinator work queue
Manage daily orders that are placed by referring physician/ordering groups through work queue and order depots
Schedule daily orders with patients and follow up with patients that have been previously left messages to schedule
Check eligibility of patient’s insurance and initiate and obtains authorizations
Check status of pending authorizations
Follow up on denied cases with physician offices and pursue reconsiderations/appeals/relay option of peer to peers
Responsible for assisting with inbound calls when it is operationally necessary
Could be asked to place written/non epic orders into system
May be asked to enter demographic and insurance information into system

What we offer

Eligible for an increase of up to $3/hr after six months of employment with Career Advancement Program

Fulltime

Patient Care Coordinator

Responsible for the coordination of appointments and support services for depart...

Location

United States , Albuquerque

Salary:

16.99 - 24.79 USD / Hour

UNM Hospitals

Expiration Date

Until further notice

Requirements

High School or GED Equivalent
2 years directly related experience

Job Responsibility

Responsible for the coordination of appointments and support services for departments/physicians
Interface with insurance companies and other payors on prior authorization and referral requests
Abstract charts and assign CPT, ICD and HCPCS codes for purposes of obtaining prior authorization
Assist billing personnel with preparation of denials and submitting appeals for payment
Assist in resolving patient problems, concerns and complaints
Serve as patient advocate and liaison, interface with patients, families, staff and department/physicians
Serve as a role model to promote organizational values, a positive work environment and efficient, quality patient care
Ensure adherence to Hospitals and department policies and procedures
Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups

Fulltime

Medical Coordinator with German

The Health line of business provides international health, life and disability i...

Location

Ireland , Dublin

Salary:

Not provided

Allianz

Expiration Date

Until further notice

Requirements

Experience in the health insurance industry
Willingness to develop Medical knowledge
Previous experience in a customer focused role, in an administrative capacity
Strong Knowledge of Microsoft Office (Excel, Word)
Completion or progression towards the Diploma in Private Medical Insurance
Customer focused
Strong communication (verbal & written)
Ability to work effectively within a team environment
Honesty and Integrity
Ability to work under pressure

Job Responsibility

Scanning & Monitoring of Queues
Claims Assigning
Daily reporting
Language requirements
Ad Hoc projects
Gop Fast Track processing
Entry of treatment guarantees into the system
Checking policies for coverage and completing treatment guarantees up to authorization stage
Following up on outstanding cases by e-mail and telephone
Reviewing the work queues and preparing for distribution and system management

What we offer

Dynamic and Multinational working environment
Trainings and programs dedicated to Learning and Development (e.g. free access to LinkedIn Learning)
A wide range of employee benefits such as performance bonus, gift vouchers, health insurance, dental insurance, public transportation subsidy, childcare allowance etc.
Open company culture, flexibility of working hours, giving you a hybrid working environment and the possibility to work a limited amount of days per year abroad
Discounts on Allianz Partners products
Modern Offices

Fulltime

Utilization Insurance Specialist

To provide clinical information to Managed Care/Insurance Companies/BHO to demon...

Location

United States , New York

Salary:

65885.00 - 98827.00 USD / Year

Mount Sinai Health System

Expiration Date

Until further notice

Requirements

Master’s Degree Preferred with experience in related field
Experienced in Insurance care management or utilization management

Job Responsibility

Responsible for all aspects of the concurrent review program, insurance certification, and authorization process for all Psychiatric or Chemical Dependency Inpatient Units
Develops rapport with and daily working relations Admitting and Inpatient clinicians to insure ongoing, comprehensive clinical information
Maintains daily communications and documentation with all Hospital Insurance Verification and Patient Accounts staff to insure timely verification of patient insurance and insurance status
Coordinates insurance authorizations through provision of appropriate clinical information
Communicates with inpatient clinical staff to insure timely discharge planning is in place when insurance authorizations expire
Monitors and coordinates the designation of alternative level of care with the UM Manager and/or Program Manager and Physician
Notifies and coordinates inpatient services when delays are noted in order to reduce length of stay and improve quality of care
Responsible for data and report generation of providers as well as regulatory agencies
Demonstrates the knowledge and skills necessary to provide care based on physical, psychosocial, educational, safety, and related criteria
Utilizes Hospital Mainframe programs, CANOPY Care Management System, and TRAC effectively

Fulltime

Patient Scheduling Coordinator Senior

Senior role within a Bariatric Program, responsible for complex patient scheduli...

Location

United States , Winston Salem

Salary:

21.85 - 32.80 USD / Hour

Advocate Aurora Health

Expiration Date

Until further notice

Requirements

High school diploma or GED equivalent
Three years' experience in a direct consumer services role with demonstrated ability to resolve problems under stressful conditions
Experience handling multiple calls in a stressful environment preferred
Previous experience working in a surgical specialty environment preferred
Strong working knowledge of medical terminology preferred

Job Responsibility

Answers incoming phone lines for specialty care team
Schedules appointments and ancillary studies for patients
Obtains authorizations from insurance companies
Orders outside ancillary studies or therapy
Ensures follow-up appointments are coordinated with ancillary testing or treatment
Facilitates physician-to-physician communication
Cancels appointments and studies
Reviews all studies when returned from digitization
Schedules all ambulatory procedures
Receives, reviews, documents and routes all external referrals

What we offer

Paid Time Off programs
Health and welfare benefits (medical, dental, vision, life, Short- and Long-Term Disability)
Flexible Spending Accounts
Family benefits (adoption assistance, paid parental leave)
Defined contribution retirement plans with employer match
Educational Assistance Program

Fulltime