Authorization Coordinator CBO Full Time 8 Hour Days (Non-Exempt) (Non-Union)

The Authorization Coordinator will provide administrative and clerical support within a healthcare setting including coordination of scheduling documentation processing and authorization activities. Serves as a point of contact for patients and external partners delivering accurate information and facilitating communication among care teams. Ensures timely handling of records referrals and insurance-related processes while maintaining professionalism confidentiality and adherence to organizational policies.

Essential Duties:

• Demonstrates accuracy and thoroughness in entering patient information into computer systems and generating required documentation including Requests for Authorization (RFA) and insurance-related forms.
• Maintains established departmental productivity and quality standards including timeliness and accuracy of authorization processing documentation and insurance verification activities. Responsible for resolving discrepancies to minimize claim denials and delays in reimbursement.
• Processes new referrals and authorizations in a timely manner including obtaining required outside medical records verifying insurance and obtaining authorization for visits and procedures.
• Ongoing follow-up responsibility on unresolved Requests for Authorizations (RFA).
• Coordination with billing/revenue cycle to ensure clean claim submission.
• Active communication with carriers and/or adjusters regarding treatment approval
• Supporting amended or additional authorization requests
• Assists with the clerical and scheduling needs of the department including scanning filing and collection of supporting documentation for billing and patient records.
• Schedules office visits and follow-up appointments in a timely manner while accommodating patient needs and physician requests per established procedures and protocols.
• Provides patients insurance companies attorneys and caregivers with appropriate information and guidance regarding scheduling paperwork authorizations insurance benefits and follow-up care.
• Addresses concerns of patients insurance carriers attorneys and care team members via telephone email electronic messaging systems and in person.
• Displays courtesy compassion kindness honesty and professionalism while interacting with patients the public and clinic personnel.
• Adheres to policies aimed to protect patient confidentiality.
• Responsible for providing administrative assistance and office support duties to help ensure efficient day-to-day operations.
• Demonstrates proactive interpersonal communication skills and maintains open lines of communication with management physicians multidisciplinary teams insurance carriers and other hospital personnel.
• Facilitates communication between patients caregivers and members of the care team and communicates all changes in patient and case information to involved personnel.
• Performs other duties as assigned.

Required Qualifications:

• Req High School or equivalent

• Req Demonstrated ability in customer service intake and scheduling.
• Req Proven record of dealing with the public in a customer service role.
• Req Familiarity with word processing Microsoft Outlook navigating the intranet interpret on-line queries and preferably with Athena IDX Cerner and scheduling systems.
• Req Must have excellent communication skills including the ability to speak read and write English proficiently.
• Req Knowledge and understanding of insurance plans and types of coverage provided.
• Req Demonstrated ability and knowledge in patients scheduling.

Preferred Qualifications:

• Pref Bachelors Degree In related field.

• Pref 3-5 years Experience in administrative or customer service in medical office preferably in an ambulatory care environment.

Required Licenses/Certifications:

• Req Fire Life Safety Training (LA City) If no card upon hire one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin protected veteran status disability or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance and with due consideration for patient and student safety. Please refer to theBackground Screening Policy Appendix Dfor specific employment screen implications for the position for which you are applying.

We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at or by email at. Inquiries will be treated as confidential to the extent permitted by law.

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