Insurance Claims and Denials Coordinator

Medical Administrative Assistant

Our client seeking a detail-oriented Medical Administrative Assistant with prior experience in handling authorizations and pre-certifications for surgical procedures. The ideal candidate will be proficient in insurance verification, scheduling, and possess strong administrative and organizational skills to support our doctors and patients.

Key Responsibilities :

• Process and manage prior authorizations and pre-certifications for surgeries.
• Verify patient insurance coverage, benefits, and coordinate with payers to assure approvals for scheduled treatments.
• Schedule patient appointments, surgeries, and follow-ups, ensuring efficient workflow and accurate calendar management.
• Communicate effectively with patients, insurance companies, medical providers, and other clinic staff.
• Maintain detailed and accurate patient records in compliance with HIPAA and clinic policies.
• Prepare and submit documentation required for insurance claims and authorizations.
• Provide general administrative support including phone coverage, patient check-in / check-out, filing, faxing, and office correspondence.
• Assist with billing inquiries and act as a liaison between patients and the billing department to resolve issues promptly.
• Support neurosurgeons and clinical staff with logistics and necessary paperwork for pre- and post-surgical processes.

Requirements

Required Qualifications :

Preferred Skills :