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Surgery Coordinator at Premier Pain Solutions PLLC
Asheville, North Carolina, United States -
Full Time

Start Date

Immediate

Expiry Date

07 May, 26

Salary

0.0

Posted On

06 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Prior Authorization, Medical Policy Guidelines, Human Anatomy, CPT Codes, ICD-10 Codes, Computer Skills, Organizational Skills, Customer Service, Multitasking, Detail Oriented

Industry

Medical Practices

Description
Description Premier Pain Solutions offers comprehensive and patient-centered pain management for acute and chronic pain. The interdisciplinary group of premier interventional pain management professionals provide the very best in pain relief with a whole-body health focus. The Surgery Coordinator is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers. Essential Responsibilities: Review chart documentation to ensure patient meets medical policy guidelines Prioritize incoming authorization requests according to urgency Obtain authorization via payer website or by phone and follow up regularly on pending cases Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations Initiate appeals for denied authorizations Respond to clinic questions regarding payer medical policy guidelines Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order Contact patients to discuss authorization status Plans and prioritizes to meet deadlines Other duties as assigned Requirements Knowledge of procedure authorization and its direct impact on the practice’s revenue cycle Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively Basic understanding of human anatomy, specifically musculoskeletal Proficient use of CPT and ICD-10 codes Excellent computer skills including Excel, Word, and Internet use Detail oriented with above average organizational skills Excellent customer service skills; communicates clearly and effectively Ability to multitask and remain focused while managing a high-volume, time-sensitive workload Education and Experience: High School Diploma or GED 1 years’ medical prior authorization experience preferred 2 years’ experience in a medical related field required
Responsibilities
The Surgery Coordinator is responsible for obtaining prior authorizations for procedural orders and ensuring that patients meet medical policy guidelines. This includes reviewing documentation, prioritizing requests, and maintaining payer files.