Mayfield Brain & Spine · 1 day ago
Prior Authorization Coordinator
Cincinnati, OH
Full-time
Onsite
Entry Level
1+ years expMayfield Brain & Spine is seeking a Prior Authorization Coordinator to ensure seamless patient care by obtaining prior authorizations from third-party payors. This role acts as a liaison between physicians and insurance providers, streamlining the approval process for various medical procedures.
BiotechnologyHealth Care
Responsibilities
Help develop and maintain a corporate culture that supports the mission and values of Mayfield Clinic
Initiate and document prior authorization for all third-party payors for patients undergoing a procedure or hospital admission
Adhering to standardized processes for documentation and follow-up
Work collaboratively with the surgery scheduler/medical secretary to ensure information is complete and accurate
Record all prior authorization phone calls, documents, and authorization numbers in the surgical worksheet
Scan or copy/paste online authorizations into the EHR
In the event of a claim denial due to prior authorization, provide follow-up and documentation to Revenue Cycle Management to support an appeal
Obtain prior authorization and/or schedule testing (eg, MRI, MRA, CT) on an as-needed basis
Work in concert with the Revenue Cycle Management Department to reduce and/or minimize third-party payer denials for prior authorizations or pre-determined issues
Qualification
Required
High School graduate
Minimum of 1 -2 years of experience in a medical secretary/scheduling role or related position
Practical knowledge of neurosurgical procedures and medical office processes
Working knowledge of CPT and ICD coding
Demonstrates excellent customer service
Ability to manage and prioritize multiple tasks in a fast-paced environment
Strong problem-solving, problem-prevention, and decision-making skills
Ability to convey empathy
Excellent oral and written communication skills
Ability to maintain composure and restore calm in a stressful situation
Uses good judgment and diplomacy when dealing with others
Desire and ability to work in a team environment
Computer proficient with the ability to learn multiple software applications
Familiar with insurance company requirements and payor medical policies
Ability to work with minimal supervision
Company
Mayfield Brain & Spine
As a trusted independent physician group, our mission is to provide the best brain and spine care to the 30,000 patients we see each year.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Mark Vorherr
Chief Executive Officer
Recent News
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