Authorization / Insurance / Benefits Coordinator

Envision Healthcare

Company Overview

Envision Healthcare is a leading national medical group focused on delivering high-quality care to patients when and where they need it most. You’ll find clinicians and clinical support professionals across the nation who are proud to call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.

Through Envision Physician Services and AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.

Envision’s core values drive continual advancement and ingenuity across the enterprise:

• Be Curious-embrace learning, seek out diversity of thought, listen openly, ask questions, and ask for feedback
• Instill Trust-have the hard conversation, presume good intent, honor commitments, and do the right thing for patients and each other
• Pursue Extraordinary-challenge the status quo, champion change, innovate and constantly aim higher
• Care Deeply-serve patients, partners, communities, and each other with empathy, compassion, and respect
• Embrace Teamwork-work cross-functionally, break down walls, develop others, be inclusive and unite to improve patient health
• Inspire Joy-seek fulfillment and the joy of medicine, appreciate others, celebrate wins, and promote wellness and belonging

Benefits

We offer you an outstanding total compensation package, and a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits package includes: medical, dental and vision, life & disability, 401k, HSA, Flexible Spending and an Employee Assistance Program.

If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.

We currently have an exciting opportunity available for an full-time Authorization / Insurance / Benefits Coordinator in Palm Beach Gardens, Stuart, Port St Lucie or Jupiter, FL.

Do you work in the service industry and are fed up with rotating schedules, working weekends and holidays??
Do you want a full spectrum of benefits and a chance to grow within a company??

If you have good attention to detail skills, are a fast learner and want to step into the medical office world then this could be the position for you!!

Summary:

The Authorization Coordinator is responsible for verifiying patient insurance and benefits, and requesting prior authorizations prior to the patient's appointment or procedure(s).  The Coordinator must follow procedures and processess to ensure accuracy in meeting guidelines and requesting reauthorization in a timely fashion.

Employment Status- Full-time, in office (This is NOT a remote position)

This is a Monday-Friday workweek.  No weekends are required!!

Essential Duties and Responsibilities:

• Run daily reports for scheduled appointments or procedures.
• Identify patients for their assigned medical office, and the procedure being done.
• Verify patient’s insurance in chart is accurate, loaded correctly and active.
• Verify services are covered by insurance.
• Fill out appropriate insurance verification form(s) and upload to patient’s chart, if applicable.
• Complete required benefit information in appropriate billing or EHR system, such as copay, coinsurance, deductible, insurance name and if services require preauthorization.
• Submit for office visit authorizations, in a timely manner to PCP or insurance company depending on benefits requirements; allow for appropriate turnaround time .
• Determine if preauthorization is required for all applicable procedures.
• Ensure procedure ordered meets insurance company guidelines.
• Follow insurance company or payor procedures for authorizations.
• Monitor authorizations responses, upload it to patients’ chart and attach to the relevant appointment.
• Follow appropriate procedures and process if an authorization is not received by the appropriate time prior to the scheduled appointment.
• Follow up on any denials by supplying requested or missing information, or arrange for Peer to Peer, if appropriate.
• Respond to offices and patient questions, complaints and concerns.
• If applicable, coordinate with surgery centers submitting all required paperwork and pre-authorizations.
• Request pre-authorization for MRI and other scans, when required.
• Coordinate with other scheduling department to cancel or reschedule appointments, when necessary.

Qualifications:

To perform this job successfully, an Authorization Coordinator must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required:

• Experience working in a high-volume or fast-paced establishment.
• Able to work independently as well as within a team.
• Able to give and receive feedback professionally.
• Strong attention to detail and able to follow processes and procedures.
• Ability to communicate clearly and appropriately, both written and orally.

Education/Experience:

• High School Diploma or GED
• Experience is a plus

Computer Skills:

• Knowledge of Microsoft Office Suite
• General computer and internet knowledge and skills required

If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a competitive salary and a comprehensive benefits package.

Envision Physician Services uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.

Envision Physician Services is an Equal Opportunity Employer.

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