One of our amazing partners are on the lookout for a Pain Management Coordinator/Scheduler at their clinic in Daytona Beach. MA's/LPN's are a plus! It is a temp assighnment for a couple weeks. This position will provide administrative support to the assigned physician(s) and mid-level provider(s), assuring that services are administered utilizing professional standards with a strong focus on quality, timely care and exceptional customer service. They will be responsible for coordinating this care with ASC’s, hospitals, laboratories, imaging facilities, physical therapy centers, skilled nursing facilities, home health agencies, and outside supply vendors. The position will also be accountable for verifying eligibility and benefits, securing Authorization for services and coordinating with clinics and patients to address payor authorization issues.
Demonstrates a strong knowledge of medical terminology, medical abbreviations, medical allergies, medications, medical diagnosis’s, and surgical procedures. Performs insurance verification and obtains initial and subsequent preauthorization for services Submits, processes, tracks, and follows up on all referrals requested by providers in a timely fashion. Manage Orders submitted to Imaging Facilities and outside Referral Networks and obtain prior authorization as needed. Manage Orders submitted to Specialty/Local Pharmacy and obtain prior authorization as needed Knowledge of the principles and practices of physician billing, out of network benefits, collection administration, industry and government regulations and reimbursements. Contacts insurance companies via phone and/or web to verify client’s medical benefits and provides Insurance with basic clinical information in patients chart to justify medical necessity.
- Medical Terminology (2 years of experience is preferred)
- Athena (2 years of experience is preferred)
- Decision Making
- Answering Phones
- Working Independently
- Years of experience: 2 years
- Experience level:Experienced
Working hours: 8 AM - 5 PM
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