Prior Authorization Coordinator

Prior Authorization Coordinator - Pay & Perks:
Competitive Pay Based on Experience
Free Parking
1 location near Hilldale Mall.
Schedule either five 8-hour shifts, Mon-Fri, between 7am-5:45pm
Paid Time Off - PTO and Holidays
Medical, Dental, Vision and Disability Insurance
Flexible Spending Account
Life Insurance Offered
401(k) Plan with Match
Professional Development Assistance
Employee Assistance Program - EAP
Employee Referral Program

Prior Authorization Coordinator - Qualifications:
Current WI LPN license or graduate of an accredited medical assisting program
Two years' experience working with health insurance companies regarding benefits and coverage, prior authorizations, and/or medical coding
Ability to interpret payer policies and guidelines
Intermediate knowledge of ICD-10 and CPT coding and medical terminology
PC/typing and telephone experience
Excellent customer relations, organization, planning and prioritization skills
Experience with national payers, DME, and Medicare Part B coverage; prior Epic experience; and previous experience in a clinic setting preferred.

Prior Authorization Coordinator - Responsibilities:
Investigates and maintains knowledge of payer pre-certification/authorization, and referral requirements
Verifies patient insurance eligibility, benefits, and coverage,
Supplies information to payers including medical information and/or a letter of medical necessity for determination of benefits
Ensures prior certification, authorization, and referral requirements are met prior to delivery of services
Communicates with payers, physicians, and patients regarding PA status
Ensures compliance with payer contracts
Documents necessary information in patient's medical record

WHY WORK AT ASSOCIATED PHYSICIANS?

Some of the most skilled, compassionate, and respected physicians in Madison practice under our roof. Associated Physicians, LLP is Dane County's longest-serving independent, multi-specialty healthcare provider. We have proudly served generations of families in Madison and surrounding communities. We provide convenient, comprehensive primary care, specialty care and more all in one convenient location.

Job Type: Full-time

Pay: $21.89 - $25.39 per hour

Expected hours: 40 per week

Benefits:
401(k)
401(k) matching
Dental insurance
Disability insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Retirement plan
Vision insurance

Education:
High school or equivalent (Required)

Experience:
health care environment working with insurance companies: 2 years (Required)
prior authorizations or medical coding: 2 years (Preferred)

Ability to Relocate:
Madison, WI 53705: Relocate before starting work (Required)

Work Location: In person