Authorization Coordinator

Job Summary

A company is looking for an Authorization Coordinator, fully remote, to manage prior authorizations for designated specialties.

Key Responsibilities

• Submit and obtain authorization requests for services and maintain expertise on payer requirements
• Monitor authorization work queues and troubleshoot authorization denials
• Initiate Peer to Peer discussions with payers and collaborate with clinical staff to support reimbursement

Required Qualifications

• Associate degree preferred
• Preferred certification in CCS, CCS-P, CPC, or specialty coding
• Three or more years of experience in a healthcare environment, preferably with prior authorization experience
• Strong understanding of HIPAA laws and managed care reimbursement requirements
• Knowledge of ICD-9 and ICD-10 coding and proficiency in Microsoft Office applications