Authorization Coordinator - Scott Ortho (Full Time) - 7151

St. Mary's Medical Center is seeking a full time Authorization Coordinator who: 

• Utilizes the necessary electronic and manual systems to identify and capture source documentation needed for the coding of ordered procedures, injections, tests, surgeries, etc.
• Answers phone calls and//or inquiries from insurance carriers or other parties to assist in the prior authorization for scheduled procedures as necessary
• Performs the precertification process for scheduled procedures as necessary, including communication of any balances due to the patient
• Communicates and appropriately documents the details of the procedure authorization.  Includes information such as approved CPT code, diagnosis code and date of service range to entity performing the procedure and documents details of authorization in the patient medical record per approved protocols
• Performs other duties as assigned or requested
• Works directly with VA and Workers' Comp. case workers to obtain authorizations and claim numbers for procedures, testing, injections and surgery.

Education:  High School diploma or equivalent

Experience:1 year of billing or clinical experience in a health care organization preferred.