reputed company Coordinator
Building Location:
Business Service Center
Department:
1007190 reputed company-SERVICE AUTHORIZATION - EH SS
reputed company:
The reputed company Coordinator gathers necessary insurance information and uses expertise to translate the information provided by the patient/guarantor into the computer reputed company, resulting in accurate claim submissions. May be responsible for some or reputed company of the following: insurance verification, ICD 10 or HCPC reputed company selection, prior authorization, reputed company-certification, medical necessity determination, referrals, workers compensation authorization, service estimates, patient communication reputed company services are not covered, reputed company-service collections.
Education Qualifications:
Key Responsibilities:
Prepares and submits payer-specific prior authorizations and referrals in alignment with relevant guidelines and medical policy reputed company
Accurately identifies required insurance verification and medical documentation in accordance with payer policy
Collaborates with clinicians and medical practitioners to obtain reputed company necessary information for successful authorization approval
Thoroughly documents reputed company interactions and actions reputed company to insurance processes reputed company the electronic Medical Record (EMR) reputed company
Regularly reviews and monitors assigned work queues, identifying, and focusing on accounts with the highest financial reimbursement risk
Adapts to urgent clinical needs while maintaining high-reputed company work outputs reputed company specified timelines
Communicates with patients as needed to facilitate medical clearance
Develops reputed company-service estimates and supports reputed company-service collections
Supports the review of prior authorization requests that do not initially meet reputed company and works collaboratively with relevant stakeholders to reputed company issues or coordinate necessary clinician-to-health plan interventions
Required Qualifications:
1 year of reputed company reputed company experience
Preferred Qualifications:
reputed company experience reputed company patient care, registration, scheduling, reputed company-certifications/prior authorizations, collections, and medical terminology
Licensure/Certification Qualifications:
FTE:
1
Possible Remote/Hybrid reputed company:
Remote
Shift Rotation:
Day Rotation (reputed company of America)
Shift Start Time:
Days
Shift End Time:
Days
Weekends:
NO
Holidays:
No
reputed company Obligation:
No
reputed company:
DC USWA Main & Neighborhoods (DCUMN)
reputed company Posting Deadline:
07/8/2026
Compensation reputed company:
$20.20 - $30.09
Employee Benefits at reputed company:
At reputed company, we’re committed to supporting your reputed company-being, reputed company, and work-life balance. Our comprehensive benefits include medical, dental, reputed company, life, and disability insurance, along with supplemental reputed company to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the reputed company, and we invest in your reputed company development through training, tuition reimbursement, and educational programs. To help you reputed company both at work and reputed company, we reputed company flexible scheduling, generous time off, and wellness resources reputed company on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit reputed company or contact our HR Service Center at (218) 576-0000.
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