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Authorization Coordinator
Pain Specialists of America. Verify eligibility and benefits by coordinating with patients’ medical coverage to ensure coverage is active and obtaining plan benefits relevant to the practice .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in verifying medical coverage and benefits, managing referrals and authorizations, and effectively communicating with payors and scheduling teams. Proficient in handling cost inquiries and creating cost estimates based on insurance benefits.
Highest-signal resume keywords
Medical Insurance ExperienceEHR System ProficiencyInsurance Terminology KnowledgeExcellent Communication SkillsOrganizational Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical BillingReferral ManagementAuthorization RequestsCost EstimationData Entry
Soft Skills
Detail-OrientedMulti-TaskingTime Management
Tools & Technologies
MS WordMS ExcelMS PowerPointMS Outlook
Industry Keywords
Medical OfficePatient CoordinationReimbursement ProcessesPayor Communication
About the role
Key responsibilities & impact- Verify eligibility and benefits by coordinating with patients’ medical coverage to ensure coverage is active and obtaining plan benefits relevant to the practice
- Input payor demographic data into the EHR system
- Submit requests for referrals and authorizations for office visits, procedures, and DME
- Follow up with payors to ensure scheduled patients have all items required to secure reimbursement
- Communicate with surgery scheduling regarding authorization request status
- Create and distribute cost estimates for scheduled procedures based on obtained benefits
- Assist with incoming cost inquiries
Requirements
What you’ll need- High school diploma or equivalent
- Minimum of three years of work experience in a medical office business setting
- Minimum of two years of experience with medical insurance
- Proficient in MS Word, Excel, PowerPoint and Outlook
- Must be organized and detail-oriented
- Must possess excellent written and verbal communication skills
- Must be able to multi-task in a fast-paced environment and meet deadlines
- Knowledge of insurance terminology and concepts related to medical billing