In Office Testing - Authorizations Coordinator

Job Description

Job Description

The leading cardiology group in the West Valley is expanding and looking to add valuable and skilled team members to our comprehensive and long-standing Practice.

Cardiac Solutions provides a personalized, team-oriented approach to patient care by promoting wellness through education, innovation, and technology. We offer intensive educational opportunities for patients through our disease management clinics and employ a multidisciplinary approach. All team members play a vital role in providing our patients with tailored care and support services. Our focus helps to prevent the progression of heart disease and minimize hospital admissions for our patients.

• Competitive wages
• Uniform/Scrub Allowance
• Monday ? Friday for most positions
• 7 Company Paid Holidays*
• Employee Medical coverage option as low as $25.00 per paycheck*
• Dental & Vision*
• Supplemental coverage options to include Life/AD&D, Short-Term, Long-Term, Critical Illness, Hospital, Accidental*
• 401(k) retirement plan
• Paid Time Off*
• Paid Sick Time
• Employee Assistance & Discount Programs

*Available to full-time, regular employees*     -     ** Restrictions may apply **

POSITION SUMMARY:

Responsible for obtaining referrals from primary care physicians (PCP) and authorizations from insurance companies for in office testing. Verifies insurance and applies correct plan information in patient?s accounts. This position is typically required to work mandatory overtime January through March of each calendar year. Please note that the overtime may be changed, modified or canceled at any time with or without notice.

ESSENTIAL JOB DUTIES:

• Verifies Primary and Secondary insurance plans.
• Verifies and updates patient registration information in the practice management system.
• Contact Healthcare insurance for office visits Referral and Authorization requirements.
• Review procedure orders and documentation to determine necessity of prior auth.
• Obtain Authorization for procedure performed in office for testing.
• Assist with internal emails.
• Other duties and tasks assigned as appropriate or necessary.
• Consistently seeks resources to stay informed on changing authorization requirements for testing and procedures.