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Cardinal Health · 2 days ago

Coordinator, Benefits Eligibility and Authorization

California, United States

Full-time

Onsite

Mid Level

$21/hr - $27.72/hr

4+ years exp

Cardinal Health is a healthcare services and products company, and they are seeking a Coordinator for Benefits Eligibility and Authorization. This role is responsible for verifying patients' insurance benefits and obtaining necessary authorizations for medical procedures and tests, while ensuring compliance with HIPAA standards.

Health CareHospitalMedical

Responsibilities

Submit authorizations for all internal and external orders including, but not limited to, radiation, chemotherapy, PET/CT, urology and scans

Follow up within 48 hours on any existing authorizations that are pending approval

Ensure proper documentation outlining all steps taken to ensure authorizations have been submitted, followed up on and obtained

Upon approval, enter all authorization information into the billing system and attach confirmation into the patients account in registration overlay

Take any action necessary for any denials received by the payor to inform the clinician of changes that may need to happen to not delay patient care

Complete any pre-service appeals to obtain paying approval based on medical necessity

Communicate effectively with all Revenue Cycle Management staff and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received

Maintain a high level of confidentiality for patients in accordance with HIPAA standards

Coordinate with clinical staff to ensure patients are contacted prior to appointments informing them of any treatment schedule changes if necessary

Effectively completes other duties and projects as assigned

Regular attendance and punctuality

Execute all functions of the role with positivity and team effort by accomplishing related results as needed

Effectively completes other duties and projects assigned

Qualification

Medical terminologyOncology billingICD-9/ICD-10 codingComputerized billing softwareGE CentricityCustomer serviceTask managementVerbal communicationOrganizational skillsIndependent work