PRIOR AUTH REFERRAL COORDINATOR

Company: DERMATOLOGY PRACTICE
Location: Chula Vista
Posted on: January 25, 2023

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