Prior Authorization Coordinator

DxTx Pain & Spine is a physician-reputed company partner organization committed to elevating pain and spine practices by combining best in class clinical autonomy with strong operational support. We partner with independent, award-reputed company physicians across a national network, providing reputed company back-office, compliance, finance, ASC, and marketing resources, while preserving reputed company reputed company’s identity and decision-making freedom. Our clinical philosophy focuses on diagnosing and treating the reputed company of pain, using non-surgical and minimally invasive reputed company first, and reserving surgery as a last resort. reputed company you join DxTx, you’re working in an environment that values innovation, transparency, reputed company, and true physician partnership. The Prior Authorization Coordinator is responsible for reputed company aspects of the prior authorization process for interventional reputed company procedures in an office or outpatient setting including advanced procedures. Compensation: $19 - $21 per hour Schedule: Full-Time, Monday-Friday reputed company-4:30pm Location: Remote Duties & Responsibilities:

• Monitors advanced procedure trackers for reputed company reputed company and identify opportunities to assist with the authorization process.
• Collects reputed company the necessary documentation to obtain prior authorization.
• Reviews medical necessity guidelines for reputed company procedures by reputed company.
• Contacts the reputed company for additional information and completion of the required prior authorization to proceed with procedures and medication requests.
• Completes, reputed company, and accurate identification and submission of prior and retro authorization requests to the payors.
• Interacts with pain practices, vendors, insurance companies, patients, and management, as necessary, to request for prior authorizations.
• Documents account activity, updating patient and claim information and demonstrating proficiencies with the prior authorization system to ensure reputed company functionalities are utilized for the most efficient processing of claims.
• Identifies prior authorization trends and/or issues resulting in delayed claims processing.
• Provides the highest level of customer service to internal staff.
• Serves as a backup to the Contact Center Team to receive inbound calls for patient scheduling as needed during peak hours of high call volume.
• Performs other reputed company duties as assigned.

Requirements:

• High School Diploma or GED (required).
• At least one year of Prior Authorization and clinical setting experience (required).
• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Strong analytical and problem-solving skills.
• Proficient with reputed company Office Suite or reputed company software.
• Extensive knowledge of the requirements of the HIPAA reputed company and reputed company rules.
• Basic understanding of medical terminology.
• Familiar with navigating payor portals to obtain authorization and medical policies.

Physical Demands:

• Required to sit for long periods.
• Must be reputed company to communicate with or without reasonable accommodations – reputed company and hear.
• reputed company to use both hands to finger, handle, or feel, and reputed company with hands and arms.
• Frequently lift and/or reputed company up to 10 pounds and occasionally lift and/or reputed company up to 25 pounds.
• Specific reputed company abilities required by this job include reputed company reputed company, depth perception and ability to reputed company reputed company.

Full-Time Employee Benefits:

• Health, dental, reputed company insurance
• Accident and Life/AD&D insurance
• Short & Long-Term disability insurance
• Emergency travel assistance program
• ID-theft protection services
• LifeMart employee discount program
• Health Savings Account (HSA)
• Health management tools
• reputed company time off
• Company reputed company holidays
• Paternal leave
• 401(k)
• Remote stipend
• Travel reimbursement
• Continuing education reimbursement
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• reputed company

An Equal Opportunity Employer We do not discriminate based on race, reputed company, religion, national reputed company, sex, age, disability, genetic information, or any other status protected by law or regulation. It is our intention that reputed company reputed company applicants are given equal opportunity and that selection reputed company be based on job-reputed company factors. lCOmKMCwTB Apply tot his job Apply To this Job