• Full Time
  • Green Bay, WI
  • Salary: $16.00 - $20.00 / hr. – based on experience
Job ID: 138843

Cadre

Are you a Medical Authorization Coordinator who has excellent customer service and people skills? Are you a Medical Authorization Coordinator who enjoys detailed work?

Our client is a growing medical establishment that provides in home diagnostic services and is passionate about providing the best treatment for their patients while making a difference in their lives.

WHAT YOU WILL BE DOING:

As a Medical Authorization Coordinator, you will be responsible for the coordination of clients third party payer verifications and authorizations so that appropriate services can continue with their clients.

  • Manage the authorization process to include timely receipt of authorizations from third party payers
  • Ensure authorization status is appropriately communicated
  • Coordinate the intake third party payer information and enter into the system
  • Maintain practice management systems with authorized hours information
  • Gather complete billing information for each client for all pay sources by working closely with the Intake Coordinator
  • Create a system for billing requirements for each client and maintain the record system as it changes along with communicating the changes
  • Verify benefits with insurance companies
  • Update documentation on authorization policies and procedures and communicates to billing manager
  • Work with ICD-10 and CPT coding for initial evaluations, treatment plans and ABA therapy for authorizations
  • Answer and field billing and insurance questions with families
  • Maintain billing information in the systems
  • Act as a resource for billing specialists for authorizations and insurance verification issues
  • Review denials and implement timely appeal solutions as requested by billing specialists
  • Provide oversight of medical records release requests, maintain patient charts for completeness and correct order and keep authorizations for release of medical records current in the file
  • Submit treatment plans as completed to appropriate third party payers and maintains system to
  • Follow up on due dates of treatment plans

WHAT YOU NEED:

  • 2+ years of medical insurance, billing, or claims processing related experience is highly preferred
  • Would consider someone with 1-2+ years of office experience
  • Knowledge of ICD-10 and coding is a plus
  • HIPAA law knowledge is a plus
  • Any experience working with the developmentally disabled or autistic spectrum clients is a plus
  • Coursework in Medical Insurance and/or Billing is plus
  • Basic skillset in MSWD and Excel
  • Any knowledge of formulas within Excel is a plus
  • Must be computer literate and able to pick up on medical billing software
  • Excellent customer service skills
  • Ability to do a lot of research, data entry and problem solving
  • Must be able to stay very focused and work very well independently
  • Ability to manage your own work load and have good time-management skills
  • Must be able to handle highly confidential information and adhere to all HIPAA guidelines/regulations
  • Excellent verbal/written communication skills
  • Must be very detailed and accurate
  • Strong work ethic

WHAT YOU GET:

  • Great organization and company to work
  • Growing company with great longevity
  • Health insurance
  • Dental insurance
  • Disability insurance
  • Life insurance
  • 401(k)

GENERAL INFORMATION:

Hours: 40 hours a week between the hours of 7:00am – 5:00pm

Length: Temporary to Hire

Pay for the Medical Authorization Coordinator position: $16.00 – $20.00 / hr. – based on experience

Location: Green Bay, WI

Job ID: 138843

Job descriptions may not include every responsibility or qualification of the position.

Cadre is an Equal Opportunity Employer.

To learn more about Cadre and to view hundreds of immediate openings, please visit our website at www.cadreservices.com.