What are the responsibilities and job description for the Authorization coordinator position at Baptist Hospitals of Southeast Texas?
Essential Job Duties
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Receives orders from physician offices and confirms that all patient demographics are present and accurate, that the order contains all required information and meets department protocols, and utilizes knowledge of medical terminology to confirm diagnosis codes provided on the order meet medical necessity, when applicable.
Using provided software, web access, and telephone, verifies insurance with specific regard to services ordered. Determines financial responsibility when applicable and communicates financial responsibility to patients.
Collects upfront payments when applicable.
This position will specialize in surgical authorizations.
Ensures that all demographic and financial information entered correctly in HIS and other applicable software. Using provided software, monitors accuracy of work performed and corrects all errors in work queue by the end of each shift.
Communicates actual or potential problems regarding verification, scheduling, financial counseling, or patient satisfaction to direct supervisor.
Responds to all request in a timely manner and communicates concisely and effectively with others. Reads and responds to email communications throughout each day during regularly scheduled business hours.
Assist in other Patient Access areas when requested by management.
Required Education and Experience
High School degree or equivalent.
1-3 years medical experience; hospital and / or surgery authorization experience preferred
Required License / Certifications
N / A
Last updated : 2024-08-12
