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Title Coordinator Authorization - 1135
Position Number 00001135
Department 010075 - Corp
Status Full Time
Primary Duties SUMMARY OF ESSENTIAL DUTIES AND RESPONSIBILITIES:
Procedures:
1. Confirm insurance eligibility and benefit information.
2. Confirm the schedule surgery center is a contracted provider.
3. Obtain authorization for procedure, when applicable.
4. Input the authorization number and financial requirements into the referral field in IDX.
Injectible or Infusion Medications:
1. Confirm the pharmacy benefit for the plan.
2. Determine if preauthorization is required.
3. Find out which specialty pharmacy the carrier uses.
4. Get a written prescription from the physician and fax to appropriate pharmacy.
5. Notify patient that the prescription has been faxed to the pharmacy and the specialty pharmacy will be contacting them to release the shipment to us and collect any co-pay they may have.
Orthotics:
1. Confirm insurance eligibility and benefit information.
2. Obtain authorization for procedure.
3. Determine patient’s out of pocket expense (this may require finding out if the patient has met their deductible and doing the math if a patient owes a percentage.)
4. Input the authorization number and financial requirements into the referral field in IDX.
Hours/Week 40 Hours Per Week
Minimum Qualifications QUALIFICATIONS:
• This position will have a combination of education and experience to demonstrate competency in the methods, policies, procedures, regulations and protocols of this function.
• High degree of tact and diplomacy, clear and concise communications skills, proficiency in mathematics, ability to follow established protocols and procedures repeatedly.
• Must have the ability to work independently and use good decision making within established guidelines. Ability to use standard office equipment including computer, telephone, and fax.
EDUCATION/EXPERIENCE: High School diploma or equivalent; some secondary (college) education desirable. Some medical experience and terminology is required. Insurance knowledge helpful.
Application Closing 12/10/2012
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