Authorization Coordinator in Gardena, CA at Avanti Hospitals

Date Posted: 1/8/2021

Job Snapshot

Job Description

Memorial Hospital of Gardena

Job Title: Authorization Coordinator 

City: Gardena / State: California    

Family Care Clinic

Day Shift

From 9:00 AM

To 5:30 PM

                                      


Job Description and Job Responsibilites

Job Title: Authorization Coordinator

Job Summary:

The position of the Authorization Coordinator processes authorizations in a timely and efficient manner and identifies the  appropriateness of health care services provided to Pipeline Health patients.

Essential Functions:

  • Review authorizations for correctness of CPT codes/procedures.
  • Submits all authorization to IPA within 24 hours of assignment from providers. This includes direct referrals.
  • Scan/upload IPA approvals daily in to patient’s Authorization folder. Enter all Auth info in patients EMR.
  • Notify patients of authorization status. Schedule appointments as applicable i.e. radiological services, tests, etc.
  • Requests authorizations extensions/modifications as needed.
  • Authorization coordinator follows up on all referrals by verifying a consult report has been received. If no report has been received the authorization coordinator must contact the specialist office to check status and or request a copy of the consult note.
  • Assist parents/patients that come into the office with questions regarding their authorization/s.
  • Returns all phone calls no later than the next business morning.
  • Provide productivity log to supervisor weekly.
  • A minimum of 25 authorizations are to be processed daily.
  • Able to do data entry on a daily basis.
  • Attend meetings as directed.
  • Other Duties as assigned.

Job Requirements

Experience:

  • Minimum 1 year of experience. Over 1 year and up to and including 3 years if experience preferred
  • Experience working with the public.
  • Working knowledge with contractual insurance plans
  • Knowledge of ICD 10, CPT codes, Insurances and Medical Terminology

Education:

  • High School Diploma, GED, or equivalent.