The Authorization and Eligibility Coordinator accurately identifies insurance and verifies eligibility and benefits, obtaining authorization as required by each insurance company. This role assesses benefits to ensure reimbursement for services provided, contacts patients for updated insurance information, and coordinates with branch staff. The coordinator acts as a resource for referral sources and works closely with branch staff to ensure an efficient admission and recertification process.
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USD/year
Demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac Cath/Electrophysiologyor Interventional Radiology and Surgery to support Revenue Cycle goals for timely billing. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references.