Our office is seeking a detail-oriented, patient-focused coordinator to process prior authorizations and discuss a financial responsibility with our patients. You’ll collaborate closely with surgeons, schedulers, billing, and patients to secure timely approvals and provide clear, compassionate guidance on coverage and costs.
Key Responsibilities:
- Submit and track prior authorization requests for every patient on the surgical schedule, ensuring pre-approval prior to surgery.
- Obtain retroactive authorizations when required.
- Prioritize workload based on authorization timelines, payer requirements, and clinical urgency.
- Support surgery schedulers with urgent/STAT authorizations.
- Create and deliver patient estimates based on the recommended surgical plan.
- Communicate coverage and financial details, address questions regarding surgical estimates.
- Review and verify patient demographics and insurance coverage.
- Answer patient questions about billing, estimates, and financial assistance.
- Document all patient/insurance correspondence in the appropriate tasks and comments sections.
- Maintain complete, accurate, and timely records.
- Apply office policies regarding deposits, cancellations, and appointment fees when assisting patient calls.
- Communicate effectively with physicians, patients, coworkers, and hospital contacts.
- When confirming pre-op appointments, check Azalea for signed surgical packets; if missing, remind patients to complete before arrival.
- Partner with the surgery scheduler: reference the Google surgical calendar to confirm arrival times and ensure all pages of surgical packets are signed before the patient leaves pre-op.
- Prepare for and meet with Dr. Sinervo’s patients during pre-op to review surgical packets.
- Notify surgery schedulers when a patient changes to Self-Pay or Insurance; update class in demographics and reflect changes in tasks and surgical facesheets (via email/phone as needed).
- Follow up on any unresolved insurance-related discussions.
- Answer phones when overflow lines ring (front desk occupied).
- Perform additional duties and provide cross-coverage as needed.
Requirements:
- 2+ years in medical prior authorizations, surgical scheduling, or revenue-cycle/front-office role (specialty surgery experience a plus).
- Ability to keep up with a high volume of patients.
- Bilingual (English/Spanish) REQUIRED.
- Working knowledge of insurance plans (commercial, marketplace, OON vs. INN, retro auths, CPT/ICD10).
- Experience discussing financial responsibility with patients.
- Proficiency with EHR/PM systems (Azalea preferred).
- Strong documentation, organization, and follow-through.
- Excellent verbal and written communication; calm, empathetic, and professional with patients.
- High integrity and attention to detail; able to handle confidential information (HIPAA compliant).
- Experience with surgical authorizations and hospital coordination
Compensation & Benefits:
- Employer-paid Medical and Dental insurance (employee-only; eligibility after 3 months)
- 401(k) profit-sharing plan eligibility after 1 year
- Paid Time Off (eligible after 2 months):
- After 2 months: 10 days.
- After 1 year: 15 days.
- After 2 years: 20 days.
- After 5 years: 25 days.
- Paid holidays.
- Generous annual Christmas bonus.
Work Schedule:
- Monday & Friday: 7:00 AM - 3:30 PM.
- Tuesday - Thursday: 9:00 AM - 5:30 PM.
- No weekends required.
- This is an in-office position (not remote).
Job Type: Full-Time.
Salary: $45,000 annually.
CEC is an equal opportunity employer. We celebrate diversity and are committed to a respectful, inclusive workplace.