Description
Academic Urology & Urogynecology of Arizona is a premier urology practice offering compassionate patient care to individuals throughout Arizona.
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Review EMR chart messaging and review schedules daily for upcoming surgical & in-office procedures
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Review chart documentations to ensure patient meets medical policy guidelines
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Prioritize authorization requests according to urgency
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Obtain authorization via payer website or by phone and follow up regularly on pending cases
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Verify coverage and benefits and calculate any out-of-pocket portions due
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Contact patients to review any out-of-pocket portions due prior to surgery
Requirements
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Minimum 1 year prior authorization experience
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Understanding of payer medical policy guidelines to manage authorizations effectively
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Proficient use of CPT and ICD10 codes
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Detail-oriented and above-average organizational skills
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Plans and prioritizes to meet deadlines
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Ability to multitask and remain focused while managing a high volume, time-sensitive workload
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Urology experience helpful
Requirements
Physical Requirements:
Requires sitting for extended periods. Some bending, stretching, and stooping required. Manual dexterity enough to use a keyboard and calculator. Normal range of hearing and vision and verbal communication is required. Use of a telephone is required.
Performance Requirements:
Knowledge of billing and insurance practices and procedures as well as regulations including Medicare, Medicaid, and third-party insurance companies including managed care contracts. Knowledge of current ICD-10 and CPT codes is required. Strong communication skills are required.
