Prior Authorizations Rep

Job Details

Job Location

AUUA Admin - Glendale, AZ

Position Type

Full Time

Job Shift

Day

Description

Description

Academic Urology & Urogynecology of Arizona is a premier urology practice offering compassionate patient care to individuals throughout Arizona.

Review EMR chart messaging and review schedules daily for upcoming surgical & in-office procedures

Review chart documentations to ensure patient meets medical policy guidelines

Prioritize authorization requests according to urgency

Obtain authorization via payer website or by phone and follow up regularly on pending cases

Verify coverage and benefits and calculate any out-of-pocket portions due

Contact patients to review any out-of-pocket portions due prior to surgery

Qualifications

Requirements

Minimum 1 year prior authorization experience

Understanding of payer medical policy guidelines to manage authorizations effectively

Proficient use of CPT and ICD10 codes

Detail-oriented and above-average organizational skills

Plans and prioritizes to meet deadlines

Ability to multitask and remain focused while managing a high volume, time-sensitive workload

Urology experience helpful

Requirements

Physical Requirements :

Requires sitting for extended periods. Some bending, stretching, and stooping required. Manual dexterity enough to use a keyboard and calculator. Normal range of hearing and vision and verbal communication is required. Use of a telephone is required.

Performance Requirements :

Knowledge of billing and insurance practices and procedures as well as regulations including Medicare, Medicaid, and third-party insurance companies including managed care contracts. Knowledge of current ICD-10 and CPT codes is required. Strong communication skills are required.