Full-Time

Patient Authorization Coordinator

Confirmed live in the last 24 hours

BrightSpring Health Services

BrightSpring Health Services

Junior, Mid

Wayne, NJ, USA

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary

You match the following BrightSpring Health Services 's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • High School Diploma/GED or equivalent required; Associate’s Degree or some college preferred
  • Minimum two (2) years of experience collecting referral information in the healthcare market
  • Experience working with all payer types, including Medicare, Medicaid and commercial insurance companies
  • Knowledge of insurance verification and pre-certification procedures
  • Understands the scope of services that Amerita can provide
  • Strong verbal and written communication skills
Responsibilities
  • Obtains the branch’s core initial authorizations and re-authorizations as required by payers. Obtains specialty re-authorizations for branch.
  • Enters patient authorization information into the computer system.
  • Generates tracking reports from CPR+ to assist with tracking of authorizations and daily Rx dispensing reports to identify changes in patient’s therapy.
  • Communicates with other departments regarding the status of authorizations.
  • Understands which insurance providers have active contracts with Amerita.
  • Manages assigned statuses (Auth, Auth Pending) in the Ready to Bill.
  • Maintains confidentiality of patient and proprietary information.
  • May support more than one branch.
Desired Qualifications
  • Associate’s Degree or some college preferred
BrightSpring Health Services

BrightSpring Health Services

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