Insurance Authorization Coordinator, REMOTE (MA Residents Only), Norwood, Full Time at Atrius Health

Posted in Other about 3 hours ago.

Type: Full Time
Location: Norwood, Massachusetts





Job Description:

Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health’s 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve. By establishing a solid foundation of shared decision making, understanding and trust with each of its patients, Atrius Health enhances their health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country.




SUMMARY


Under general supervision, delivers excellent customer service to patients through participation in Insurance Authorization management. Obtains necessary insurance specialty referral and outpatient authorizations. Ensures all necessary documentation and information is in patients EMR(Epic)to obtain approval from insurance companies. Documents all proper authorizations in patients EMR(Epic) for retrospective and prospective non-Atrius specialty referrals and ancillary services. Handles a variety of referral and authorization-related issues, responsible for keeping current on the policies and procedures of a multitude of current insurance payors.


EDUCATION/LICENSES/CERTIFICATIONS


High School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit required. If position serves as back up to medical assistants, an associate’s degree or certification in medical assisting may be required.


EXPERIENCE


Preferred three years’ experience in an Insurance, clinical and/or customer service setting. At least one year in a position equivalent to the Medical Secretary II preferred. Computer experience required.


SKILLS


Strong interpersonal, customer service, time management and organizational skills required. Familiarity with insurance coverage and health care terminology. Excellent research capabilities on the internet needed to determine insurance benefits and find provider information. Able to explain referral requirements to both staff and patients. Able to work independently as well as to network effectively internally with other referral coordinators and/or benefit coordinators. Able to work with a high level of detail in a busy and demanding environment.




Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.


BENEFITS INCLUDE:


· Up to 8% company retirement contribution


· Generous Paid Time Off


· 10 paid holidays


· Paid professional development


· Generous health and welfare benefit package

Atrius Health is an equal opportunity/affirmative action employer and does not discriminate in recruiting, hiring, training, promoting or any other employment practices on the basis of race, color, religion, sex, marital status, age, sexual orientation, gender identity, national origin, military service or application for military service, veteran or disability status.

Applicants have rights under Federal Employment Laws: Family and Medical Leave Act (FMLA);Equal Employment Opportunity (EEO); and Employee Polygraph Protection Act (EPPA).

VEVRAA Federal Contractor

Request Priority Protected Veteran & Disabled Referrals for all of our locations within the state

PDN-9d559a20-62d7-42e9-871d-e0e26cee95a9
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