Authorization Coordinator
at Medix

Date Posted: 11/13/2019

Job Description

Authorization Coordinators - are you ready to give your career a boost by bringing your talents and expertise to some of the nation's top companies? Let Medix partner with you to give you the edge you need! Since 2001, we have made it our mission to be the leading provider of workforce solutions for clients and candidates across the Healthcare, Scientific, and Information Technology industries. We currently have excellent assignments for experienced Customer Service Representatives with healthcare industry experience.

Our dedicated recruiters are here to help you to find and secure just the right opportunity. We take the time to learn about you, your skills, your interests, and your career goals, and then match you with the jobs and companies that best suit your needs. Whether you are looking for contract, contract-to-hire, or direct hire positions, we can help you to find the meaningful and gratifying work that you've been looking for. Let Medix be your partner as you move your career forward. Contact us today!

"Medix cares about its employees to the point where they're treated like family. They provide the necessary tools to help with your job search and provide continuous contact to ensure your placement is going well. You're more than just an employee - you're also a team member, and I couldn't be happier!"
~ Jasmine, Medix Talent


Authorization Coordinator / Healthcare Call Center Agent

Job Responsibilities

Referral Coordination:

Identifies insurance companies requiring prior authorization for services and obtains authorization.

Coordinates authorizations for procedures and testing requested by providers for their managed care patient.

Reviews charts on outpatients and reports to third party payors.

Retrieves chemo orders from chart, and requesting authorization through the insurance companies.

Prepares all forms required by third party payor for treatment authorization requests.

Work on all pending utilization review patients, and achieve authorization for the following day. Getting emergent authorizations from walk-in patients.

Verifying with the insurance companies and documents what needs to be pre-certified.

Educates patient of their insurance policy.

Composes letters and memoranda from physician dictation, or verbal direction for submission to insurance companies to obtain authorization or appeal denials.

Pre-Registration

Performs pre-registration functions prior to the patient appointment (including, but not limited to: obtains and/or verifies demographic, clinical, financial, insurance information, service eligibility, consent forms, and patient/guarantor information for pre-registered accounts).

Contacts patients, payers, or other departments to confirm and verify insurance and demographic information.

Identifies and resolves issues by working with patients, payors, and other CoH departments and personnel in a single interaction with the patient.

Identifies patients with "share of cost" or co-payments by performing pricing estimations, and notifies patients of their expected patient liability and financial responsibility.

Collects patient/guarantor liabilities and refers patients who are uninsured/underinsured to Financial Counselor for charity, financial assistance or governmental program screening and application processes.

Notifies CoH contracting department of patients with a non-contracted insurance to prepare a Letter of Agreement (LOA) should patient to pursue services at COH and informs patient of approval status.

Customer Service:

Reps need to maintain a high level of customer service at all times and be empathetic when being a resource to patients and visitors

Provide excellent communication skills, be polite, friendly, patient and calm with everyone they speak with.

Managing multiple, changing priorities in an effective and organized manner, under stressful demand while maintaining exceptional service.

Keeps composure when dealing with difficult situations and responding professionally.



Metrics:

Authorization Submissions: 30-40

Insurance Verifications: 80-100


Authorization Coordinator / Healthcare Call Center Agent

RequirementsSuccessful candidates for the Customer Service Representative role must have healthcare experience in a call center environment. Someone with exceptional customer service and interpersonal skills would be a good fit for this dynamic customer service role.

Additional requirements of the Customer Service Representative include:

  • High school diploma or GED
  • 2 - 5 years' experience as a Customer Service Representative
  • Experience in a call center or healthcare industry, preferred


Authorization Coordinator / Healthcare Call Center Agent

Benefits

As a job seeker, you face the daunting challenge of finding and landing a position that truly suits your talents and your career ambitions. At Medix, we are passionate about partnering with you to match you with the jobs and companies that are right for you. Our personalized placement services provide flexibility to accommodate your schedule and needs, as we offer contract, contract-to-hire and direct hire opportunities. We will also provide guidance and support during the interview process-if you need anything, from resume tips to information on the company you're interviewing with, your recruiter is only a phone call away. Best of all, our placement services are 100% free to you.

As a Medix contractor, you can choose to enroll in our benefits program and enjoy:

  • Supplemental medical coverage
  • Prescription program
  • Dental coverage
  • Vision coverage
  • Term life Insurance plan


Customer Service Representative / Healthcare Call Center Agent

Medix - Anticipating Needs. Exceeding Expectations.

Apply now!

Job Requirements

Referral Coordination: Identifies insurance companies requiring prior authorization for services and obtains authorization. Coordinates authorizations for procedures and testing requested by providers for their managed care patient. Reviews charts on outpatients and reports to third party payors. Retrieves chemo orders from chart, and requesting authorization through the insurance companies. Prepares all forms required by third party payor for treatment authorization requests. Work on all pending utilization review patients, and achieve authorization for the following day. Getting emergent authorizations from walk-in patients. Verifying with the insurance companies and documents what needs to be pre-certified. Educates patient of their insurance policy. Composes letters and memoranda from physician dictation, or verbal direction for submission to insurance companies to obtain authorization or appeal denials. Pre-Registration Performs pre-registration functions prior to the patient appointment (including, but not limited to: obtains and/or verifies demographic, clinical, financial, insurance information, service eligibility, consent forms, and patient/guarantor information for pre-registered accounts). Contacts patients, payers, or other departments to confirm and verify insurance and demographic information. Identifies and resolves issues by working with patients, payors, and other CoH departments and personnel in a single interaction with the patient. Identifies patients with “share of cost” or co-payments by performing pricing estimations, and notifies patients of their expected patient liability and financial responsibility. Collects patient/guarantor liabilities and refers patients who are uninsured/underinsured to Financial Counselor for charity, financial assistance or governmental program screening and application processes. Notifies CoH contracting department of patients with a non-contracted insurance to prepare a Letter of Agreement (LOA) should patient to pursue services at COH and informs patient of approval status. Customer Service: Reps need to maintain a high level of customer service at all times and be empathetic when being a resource to patients and visitors Provide excellent communication skills, be polite, friendly, patient and calm with everyone they speak with. Managing multiple, changing priorities in an effective and organized manner, under stressful demand while maintaining exceptional service. Keeps composure when dealing with difficult situations and responding professionally. Metrics: Authorization Submissions: 30-40 Insurance Verifications: 80-100

Job Snapshot

  • Employee Type: Full-Time
  • Location: Irwindale, CA
  • Job Type: Health Care
  • Experience: Not Specified
  • Date Posted: 11/13/2019

About Us

Medix provides workforce solutions to clients and creates opportunity for talent representing a variety of industries through our Healthcare, Scientific and Information Technology divisions. We have earned our reputation as an industry leader by providing unsurpassed customer service and top quality professionals to our clients.

At Medix we are extremely dedicated to our candidates, providing them with the best advice, support and direction during their job search. We work with all of our candidates personally to understand their skills and aspirations and best match them with opportunities that fit their goals. As we place contract, contract-to-hire and direct hire employment plans, we offer the flexibility to accommodate your schedule and needs.  We will also provide guidance and support during the interview process.  The benefits at Medix don’t stop there. After being employed for 30 days and averaging 30 hours per week for those 30 days, you become eligible for our benefit program.

Are you looking for a new job? Check out these current opportunities: Healthcare Jobs, Information Technology Jobs and Scientific Jobs