PURPOSE/DISTINGUISHING CHARACTERISTICS Responsible for performing the authorization functions with insurance carriers. Coordinate with/educate physicians, nursing staff and other health care providers on the authorization process and requirements. Works as a patient advocate and functions as a liaison between the patient, staff and payer to answer reimbursement questions and avoid insurance delays.
Tracks, documents, and monitors authorizations. Implements check and balance systems to ensure timely compliance.
High school graduate or equivalent One (1) year of medical insurance claims experience through patient accounts billing or claims adjudication Demonstrated knowledge of medical terminology and basic anatomy/physiology Demonstrated computer skills Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered