About this opportunity
Midland Memorial Hospital lists this Prior Authorization Coordinator opportunity in midland, Texas. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Prior Authorization CoordinatorIn this position you will determine client benefits and obtain and track client authorizations for services. People who are successful in this position will have a high attention to detail and be able to work in a fast-paced environment. Prior Authorization Coordinator is responsible for verifying patient-eligibility, coordinating benefits, and facilitating insurance coverage, as well as addressing patients' concerns regarding authorization and turnaround.Full Time: M-F 8:00 AM - 5:00 PMEssential Functions/Performance ExpectationsContacting insurance companies via phone and/or web to verify client’s medical benefitsAnalyzing reports, tracking, and obtaining necessary authorizations for all servicesAnswering insurance coverage and prior authorization questions from providers, families, and other Revenue Cycle members as neededWorking with Microsoft office and Electronic Health RecordsPerforming other duties to support Revenue Cycle operations as neededEnsure payment for services by verifying benefits with insurance provider.Document all prior authorization information including approval dates, billing units, procedure codes, and prior authorization number in patient profileReview insurance denials and submit appeals (as permitted by payor)Schedules surgeries by making arrangements with the surgical center; verifying times with patients; and preparing charts and pre-admission and consent forms.Perform all other duties as assignedEducation And ExperienceExperience with EMR (electronic medical records), medical terminology1+ year experience working with medical insurance and/or prior authorizationsExcellent verbal and written communication skillsAbility to work independentlyStrong passion for serving our clientsStrong decision making/problem solving skillsPhysical RequirementsStand, walk, sit, stoop, reach, lift, see, speak and hear. Lifting is limited to 35 lbs. for clinical staff and to 50 lbs. for non-clinical staff. The individual must use an assisted-lift device or get another individual(s) to assist with the lift that is over these maximum limits.Ability to work flexible schedulesAbility to work under stress
Worksite address
midland, TX, 79701, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.