Insurance & Financial Specialist

The Center for Endometriosis Care 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

Compensation & Benefits

After 2 months : 10 days.

Work Schedule

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.