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Authorization Coordinator - AdventHealth - LOCATION

Location Address:

Top Reasons to work at AdventHealth - Orlando

Work Hours/Shift: Full Time

You Will Be Responsible For:

Demonstrates, through behavior, AdventHealth’s core values of Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork.

Reviews all Radiation Oncology accounts for accuracy of benefits and authorizations, as well as updated information entered by each site.

Attends and participates in all billing meetings and distributes pertinent information to appropriate staff. Educates the staff on updates, new information and changes in insurance areas.

Obtains authorization for existing patients. Verifies benefits for all follow-ups, re-evaluations, and re-consultations as well as patients the crossover from inpatient to outpatient. Reconciles daily master schedule with the patient treatment card.

Informs Reimbursement Manager, physician’s group network representative, and other assigned staff of authorization or benefit problems. Accurately documents and communicates authorization findings to appropriate staff and by noting in ARIA Journal Notes.

Updates computer systems for necessary information relating to insurance benefits and authorizations. Performs daily reconciliation of all authorization and benefit verification reports.

Qualifications

What You Will Need:

Required:

Knowledge of the insurance verification process

Computer literate and effective communicator

Knowledge and navigation capability of insurance websites

Ability to work independently as well as multi-task

Knowledgeable of and adheres to HIPAA requirements/compliance

Understanding of coding guidelines for radiation oncology

Preferred:

High school diploma or equivalent

Medical coding, billing and insurance certificates

Ability to read and understand medical terminology

Understanding of Radiation Oncology CPT codes and treatment plans

Knowledge of Radiation Oncology computer system

Bi-lingual in English/Spanish, both in written and verbal communication

Job Summary:

The Authorization Coordinator (AC) verifies benefits and obtains authorization of insurance for all follow-ups, re-consultations, re-evaluations. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Patient Financial Services

Organization: AdventHealth Orlando

Schedule: Full-time

Shift: 1 - Day

Req ID: 24021949

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.