About the job
As an Authorization Coordinator at Woundlocal, you will play a critical role in facilitating patient care by managing insurance authorizations efficiently. Your key responsibilities will include:
- Responding to incoming referrals, verifying demographic and insurance details, and evaluating the organization's capability to meet patient needs.
- Retrieving and securing insurance authorizations while meticulously documenting all interactions in accordance with company policies.
- Reviewing authorizations to ensure accurate coding, including modifiers and coverage requirements.
- Requesting, tracking, and obtaining pre-authorizations from various insurance carriers.
- Collaborating closely with the Billing Department to update accounts and manage authorization-related activities.
- Assisting with denial resolutions by procuring necessary clinical information, ICD-10 coding, or other details to rectify errors.
- Communicating effectively with referral sources, patients, and internal teams to resolve issues and offer alternative resources when necessary.
- Conducting courtesy follow-ups, participating in training sessions, and ensuring compliance with organizational policies and values.
- Maintaining comprehensive charts, records, and databases pertaining to patient authorizations.
- Staying updated on authorization requirements across all payers and regulatory guidelines.
If you are looking for a dynamic workplace that fosters growth, learning, and a fun atmosphere, Woundlocal is the perfect fit for you. We pride ourselves on our exceptional team and the unique culture we cultivate!