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Prior Authorizations Coordinator

Company: Southern Sports Medicine Partner dba Partnercare
Location: Asheville
Posted on: May 28, 2023

Job Description:

At Comprehensive Pain Consultants of the Carolinas (CPC), we work with our patients to heal from pain and resolve its physical, neurological, and psychological impacts. We are seeking a full time Prior Authorization Coordinator. The successful candidate will have a minimum of two years of medical office experience and be energetic, compassionate, and extremely detail oriented. This position functions as an integral member of the CPC team.

The Prior Authorization Coordinator will be responsible for performing all tasks regarding obtaining prior approvals from payers for our client's services.

  • Review chart documentation to ensure patient meets medical policy guidelines.
  • Prioritize incoming authorization requests according to urgency.
  • Obtain authorization via payer website or by phone and follow up regularly on pending cases.
  • Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations.
  • Initiate appeals for denied authorizations.
  • Respond to clinic questions regarding payer medical policy guidelines.
  • Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order.
  • Contact patients to discuss authorization status and scan all documentation into patient's chart.
  • Comply with HIPAA compliance policies.
    The right person for this role will possess Above-average patience, empathy and compassion when working with patients. Demonstrate of ethical and professional conduct, including the ability to maintain confidentiality (HIPAA). We are looking for someone who has a team-oriented mindset with the ability to multitask, establish and rearrange priorities in a fast-paced environment.

    This full-time, 40 hour per week position in Asheville, NC offers:
    • Regular hours Monday - Friday from 8:00 am to 5:00 pm.
      • Competitive wages, benefits that protect you and your family
      • A 401(k) plan with a match to help you prepare for your future.
      • We are also dedicated to building the work environment where our people grow and thrive. We want you to be a fan of where you work!
        Education and Experience:
        • High school diploma
        • We prefer at least two years of experience but are willing to train newer teammates with the right focus on patient care, service, and teamwork.
        • Medical Assistants are encouraged to apply.
        • Current ACLS and/or CPR certification
          Partnercare is an equal opportunity employer, dedicated to creating a workplace that is free of harassment and discrimination. We base our employment decisions on business needs, job requirements, and qualifications - that's all. We do not discriminate based on race, gender, religion, health, personal beliefs, age, family or parental status, or any other status. We don't tolerate any kind of discrimination or bias, and we are looking for teammates who feel the same way.

          Partnercare does not accept unsolicited submissions from third parties.

Keywords: Southern Sports Medicine Partner dba Partnercare, Asheville , Prior Authorizations Coordinator, Other , Asheville, North Carolina

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