Insurance Coordinator/Prior Authorization Specialist

Pain Management Centers of America, P.S.C. Insurance Coordinator/Prior Authorization Specialist Paducah, KY·Full time Company website Apply for Insurance Coordinator/Prior Authorization Specialist Prior authorizations/filing VA claims and various insurance related tasks. About Pain Management Centers of America, P.S.C. PMCOA is a national company with state-of-the-art interventional pain management facilities in Kentucky, Indiana, Tennessee, and Illinois with 8 pain centers and 3 ambulatory surgery centers. PMCOA employs over 200 trained personnel, including interventional pain physicians, nurse practitioners, physician assistants, nurses, and expert personnel in multiple ancillary services and administration. Description Responsible for managing prior authorizations for musculoskeletal services. Works closely with other members of the billing team as liaison to communicate workflow. Review clinical documentation for medical necessity. Interpret payer guidelines. Track and follow up on pending authorizations. Manage denials and appeals. This role will also include responsibility for coordinating and processing patient referrals through the VA Community Care Network. This will include verifying eligibility and submitting and tracking authorization/referral requests through the VA portal (HSRM). #J-18808-Ljbffr