Authorization Coordinator

  • Pelham, AL
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Summary

JOB TITLE:                   Authorization Coordinator

 

REPORTS TO:              Director of Intake

 

GENERAL PURPOSE:

Responsible for coordinating appropriate payor authorizations based on patient needs, medical necessity and care coordination, in accordance with Federal and State guidelines.

QUALIFICATIONS:

  • Minimum of high school education or equivalent.
  • General knowledge of typing, mathematics, office machines and computer skills.
  • Must have strong communication skills.
  • Ability to establish and maintain effective working relationships.
  • Ability to meet the public and staff as a positive, friendly and professional representative of the agency.
  • Effective social interaction, communication and organizational skills and the ability to perform a variety of tasks efficiently.
  • Must be capable of performing the job functions of this position with or without accommodations.

 

ESSENTIAL JOB FUNCTIONS:

  • Obtain authorization and reauthorization of primary payor sources.
  • Obtains insurance approvals for visits or extension of visits.
  • Input authorization of authorization data into computer system timely and accurately.
  • Notify Patient Care Coordinator (PCC)/Branch Manager/Agency Administrator immediately of denial of authorizations or payment.
  • Reports problems with payors to Director of Revenue Cycle for follow up and quick resolution.
  • Coordinates reports and additional information to Director of Revenue Cycle in a timely manner.
  • Liaison between payor source and clinical staff.
  • Develop positive relationships on behalf of the Company in the area targeted for new growth and the community at large.
  • Adhere to all of the Company’s policies and procedures.

 

  • Perform other duties as assigned.
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Job Information

Central Intake
Full Time
Professional
Req #: 4204-2977

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