Top 1 Coder physician practice Jobs in Evansville, In

Clinical Authorization Specialist
Commonwealth Pain & Spine —Evansville, IN
- $18 - $20 an hour
- Full-time
- Hybrid work
- Clinic experience
- Mid-level
- High school diploma or GED
- Paid holidays
- Dental insurance
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12h

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Clinical Authorization Specialist

Commonwealth Pain & Spine -
Evansville, IN

Quick Apply

Job Details

Full-time
$18 - $20 an hour
12 hours ago

Benefits

Paid holidays
Dental insurance
Paid time off
Vision insurance
401(k) matching

Qualifications

High school diploma or GED

Full Job Description

Job Description

The Clinical Authorization Specialist is responsible for all aspects of the authorization process. Responsibilities include collecting all the necessary documentation, contacting the client for additional information and completion of the required authorization order. Complete, timely, and accurate identification and submission of all authorization requests to the payors. Interacts with clients, insurance companies, patients, and sales representatives, as necessary, to request for authorizations.

Company Overview:
Commonwealth Pain & Spine is a pain management network dedicated to improving the lives of our patients by treating their pain with the utmost respect and providing them with the most innovative, safe, responsible, and clinically proven pain relief possible. Our team of best-in-class physicians, administrators, and staff empathizes with the needs of our patients. We recognize that their pain is exhausting and debilitating and limits their quality of life. Relief from chronic pain is achievable in various degrees through our intelligent and multimodal team-based approach. Our entire team is committed to providing levels of patient satisfaction and overall clinical outcomes that far exceed the expectations of the medical community, referring physicians, and our customers.

Benefits:

Competitive compensation
Comprehensive Health/Vision/Dental insurance options
Great PTO plan PLUS Paid Holidays
401k and matching available

Commonwealth Pain and Spine is an Equal Employment Opportunity Employer!

Responsibilities

Works with departments and insurance companies to obtain the necessary authorizations and referrals for services ordered/scheduled
Maintains a high level of understanding of insurance companies and billing authorization/referral requirements
Ensures insurance carrier documentation requirements are met, and authorization documentation is scanned and documented in the patient’s medical record
Communicates with other prior authorization/referral specialists, patient account representatives and coders to continually monitor changes in the health insurance arena
Reviews and submits all follow-up authorizations, recertifications and referrals.
Appeals denials and/or set-up peer to peer reviews
Pre-screens appointment schedules and works 1-2 weeks out with provider schedules along with checking daily add-ons
Maintains an approachable and appropriate attitude when interacting with all levels of personnel in a rapidly changing environment
Eagerness and ability to work independently as well as part of a team with flexibility and willingness to learn and take initiative on variety of tasks and projects
Supports the vision and culture of the organization. Demonstrates personal commitment through active involvement in the performance improvement process
Adheres to the Employee Handbook and Policies and Procedures
All other duties assigned including duties performed for affiliates, assigns, lessees, contractors or other third parties

Skills & Qualifications

Two years’ relevant work experience in obtaining authorizations and referrals, preferrable in a Clinic setting
Knowledge of reimbursement and claims processing procedures to include billing and collection practices
Basic CPT and ICD-10 coding knowledge
Working knowledge of EMR and/or billing systems, athenahealth preferred
General knowledge of injection authorizations, preferred
Exceptional communication and interpersonal skills to interact effectively and tactfully with all levels of employees, management staff, patients, vendors and the general public
Strong computer and phone skills, including Microsoft Office Suite experience
Responds timely to requests, emails, voicemails, etc.
Ability to handle multiple simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner
High integrity, including maintenance of confidential information
Regular and reliable attendance
Exercises professional judgment and demonstrates good problem-resolution skills
Eagerness and ability to work independently as well as part of a team with flexibility and willingness to learn and take initiative on variety of tasks and projects

Education & Experience:

Must have high school diploma or general education degree (GED)

Quick Apply

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Clinical Authorization Specialist

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