PRIOR AUTH REFERRAL COORDINATOR
Company: DERMATOLOGY PRACTICE
Location: Chula Vista
Posted on: January 25, 2023
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Job Description:
Job DescriptionWe are a growing medical/ surgical and cosmetic
dermatology office committed to providing exceptional patient care
in a welcoming, positive setting.MEDICAL INSURANCE(HMO, PPO,
Medicare, Medical, etc.) KNOWLEDGE REQUIRED, DERMATOLOGY EXPERIENCE
A PLUS.Spanish speaking Preferred.Performs Insurance Verification
of benefit coverage on all of patient's insurance plans for each
service being provided.Confirms insurance eligibility, and procures
authorizations 7 days prior to patient visits.Obtains and documents
in the system all information related to coinsurance, copay,
deductibles, authorization requirements, etc.Creates documentation
required to service the patient per policy and payer
guidelines.Obtains initial authorization prior to all services for
any insurance plan that has authorization requirements - including
specialty medication prior authorizations.Obtains re-authorization
as necessary, reviews physician orders to determine if
authorization is required on changes / additions to phototherapy
for patients that are already on service.Administrative
Duties/ResponsibilitiesData entry, filing, and faxingScheduling and
confirming patient appointmentsResponding to telephonic
inquiriesObtaining Prior Auth and checking eligibility of patients
Scheduling new patients and/or existing patientsMaintaining a
pro-active system in the officeCreating and up-keeping medical
chartsKeeping all records of charts and EMRDocumenting and
distributing all clinical correspondence of patientsAddressing
relevant concerns with managementQualifications:Previous
experiences in Healthcare field (Minimum 1 Year Dermatology
Experience Required)Familiarity with dermatology procedures
(MEDICAL, MOHS & COSMETIC)Strong organizational skills, multi
tasking personAbility to thrive in a fast-paced environmentHighly
motivated energetic & professionalStrong Marketing and Sales
AbilitiesCompany DescriptionOur Company has a passion for patient
and skin care. Our medical group owner and provider is a Board
Certified internist, Dermatologist and Mohs surgeon. He is
specializing in the management of skin cancer through complex skin
cancer surgery and reconstructions. Medical, Surgical, Cosmetic
Full Dermatology Services provided in the practice and/or
Facilities.
Keywords: DERMATOLOGY PRACTICE, Chula Vista , PRIOR AUTH REFERRAL COORDINATOR, Other , Chula Vista, California
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