Prior Authorizations Rep (30486)

DescriptionAcademic 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 proceduresReview chart documentations to ensure patient meets medical policy guidelinesPrioritize authorization requests according to urgencyObtain authorization via payer website or by phone and follow up regularly on pending casesVerify coverage and benefits and calculate any out-of-pocket portions dueContact patients to review any out-of-pocket portions due prior to surgeryRequirementsMinimum 1 year prior authorization experienceUnderstanding of payer medical policy guidelines to manage authorizations effectivelyProficient use of CPT and ICD10 codesDetail-oriented and above-average organizational skillsPlans and prioritizes to meet deadlinesAbility to multitask and remain focused while managing a high volume, time-sensitive workloadUrology experience helpfulRequirementsPhysical 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.