Prior Authorization Coordinator

Were excited to highlight a key position on our team This role plays a vital part in ensuring seamless patient care by obtaining prior authorizations from third party payors for all hospital admissions outpatient procedures surgeries and interventional pain proceduresboth in office and outpatient Acting as a liaison between physicians and insurance providers this position helps streamline the approval process and supports timely effective treatment for our patients EducationExperience High School graduateMinimum of 1 2 years of experience in a medical secretaryscheduling role or related positionSkills Practical knowledge of neurosurgical procedures and medical office processesWorking knowledge of CPT and ICD codingDemonstrates excellent customer serviceAbility to manage and prioritize multiple tasks in a fast paced environmentStrong problem solving problem prevention and decision making skillsAbility to convey empathyExcellent oral and written communication skillsAbility to maintain composure and restore calm in a stressful situationUses good judgment and diplomacy when dealing with othersDesire and ability to work in a team environmentComputer proficient with the ability to learn multiple software applicationsFamiliar with insurance company requirements and payor medical policiesAbility to work with minimal supervisionEssential Functions Help develop and maintain a corporate culture that supports the mission and values of Mayfield ClinicInitiate and document prior authorization for all third party payors for patients undergoing a procedure or hospital admissionAdhering to standardized processes for documentation and follow upWork collaboratively with the surgery schedulermedical secretary to ensure information is complete and accurateRecord all prior authorization phone calls documents and authorization numbers in the surgical worksheet Scan or copypaste online authorizations into the EHRIn the event of a claim denial due to prior authorization provide follow up and documentation to Revenue Cycle Management to support an appealObtain prior authorization andor schedule testing eg MRI MRA CT on an as needed basisWork in concert with the Revenue Cycle Management Department to reduce andor minimize third party payer denials for prior authorizations or pre determined issues