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Company Name:
UCLA HEALTH
Approximate Salary:
Not Specified
Location:
Westwood, California
Country:
United States
Industry:
Healthcare

Authorizations Coordinator

Responsibilities

Under the supervision of the Manager, the incumbent is responsible for obtaining authorizations for office visits, procedures and medications, scheduling appointments within and outside of UCLA facilities. This person will provide a high level of customer service.

Major duties include verifying insurance benefits for requested procedures and medications, confirming and obtaining appropriate authorization for office visits and procedures, informing patients of their financial responsibility before their appointment, scheduling procedures, sending out confirmation letters with appropriate preparation instructions, and special projects as assigned.
Qualifications

Working knowledge of insurance authorization and verification process for major medical insurance plans
Typing skills to prepare forms and correspondence with speed and accuracy.
Possesses strong customer service skills to promote pleasant and effective interactions with patients, staff, and physicians.
Knowledge of billing and diagnosis codes and medical office procedures.
General knowledge of Neurology procedures and terminology.
Working knowledge of medical terminology.
Skill in adapting to and implementing frequently changing procedures.
Working knowledge of third party payor verification terminology to determine benefit eligibility and interpretation of coverage.
Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, or other sponsoring agencies.
Skill in analyzing information, problems, situations, practices, and procedures to recognize alternatives and provide solutions.
Skill in recognizing an emergency or high priority situation and taking appropriate and immediate action. Demonstrated ability to maintain composure when confronted by difficult situations and to respond professionally.
Skill in speaking clearly and using appropriate grammar.
Knowledge of patient assistance programs.