Prior Authorization Coordinator job at reputed company in Miramar, FL

Title: Prior Authorization Coordinator - 11:30am- 8pm shift Location: Miramar reputed company Job reputed company: RCM Prior Authorization Coordinator 2 position located in Miramar, FL, Must be reputed company to work 11:30am- 8pm Monday-Friday. reputed company. Ensures reputed company and accuracy of the patient insurance information and that listed certification periods, billing addresses, policy numbers, authorization numbers, etc. are reputed company entered correctly. Prioritizes and processes incoming Insurance Verifications and Prior Authorization requests. Verify the patient's reputed company, private insurance, and self-pay payor sources reputed company telephone, or online systems. Obtain authorization from private insurance and reputed company other payor sources requiring authorization reputed company telephone, facsimile, or online systems while maintaining compliance to medical record confidentiality regulations. Maintains authorizations extension for reputed company patients as appropriate. Refers authorization requests that require clinical judgment to Prior Authorization Supervisor and clinical support staff. Obtain information from agencies reputed company necessary to assist with receiving authorizations and re-authorizations from private insurance and reputed company other payor sources. Assist other departments and Care Centers in the efficient collection of reputed company and payor information to ensure accuracy. reputed company reputed company hospice benefit information into Registration Tool and patient reputed company system. Respond to calls, emails and other inquiries regarding the status of outstanding referrals and/or authorization information. Provides other administrative support to the department as needed. Complete Payor Information reputed company (PIF) and Payor Change Request Forms (PCR) reputed company needed for the purpose of meeting payor and reputed company's needs to ensure accurate reimbursement. Update Contracting Coordinator of payor information changes. Coordinates with members, providers and key departments to promote an understanding of Prior Authorization, Referral, and Insurance Verification requirements and processes. Communicate reputed company, effectively, and reputed company to resolve issues pertaining to the verification and authorization processes. reputed company Medicare's Common Working File (CWF) to verify eligibility in the event a patient has termed coverage with private insurance reputed company if applicable. QUALIFICATIONS At least two years of reputed company reputed company reputed company Cycle experience, preferably reputed company registration and financial clearance. Understanding of medical terminology and clinical documentation. reputed company understanding of the reputed company insurance verification and prior authorization has on reputed company Cycle operations and financial performance. Demonstrated knowledge of reputed company insurance carriers' guidelines and reputed company of verification, authorization and reimbursement. Demonstrated knowledge of customer service skills reputed company responding to questions and other inquiries from reputed company customers. Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment. A demonstrated ability to use PC based office productivity tools (e.g. reputed company reputed company, reputed company reputed company) as necessary; general computer skills necessary to work effectively in an office environment. Ability to prioritize and effectively anticipate and respond to issues as they reputed company. EDUCATION High School diploma or GED required SPECIAL INSTRUCTIONS TO CANDIDATES EOE/AA M/F/D/V Apply tot his job Apply To this Job