Authorizations Coordinator

Woundlocal • Boerne, TX

8h

About The Position

Join us and you will see…we don’t do things like everyone else. We are the newest and fastest growing in popularity for mobile healthcare servicing long-term care facilities. It’s no secret how we're accomplishing this… it’s our incredible team members and the winning culture we’re building!
If you are looking for an amazing practice to work for, grow, learn, and have a blast - this is it.
Great team! We spend a ton of time hiring and training the best people.
Great pay! We pay very well.
Great opportunities! We're growing and we like to promote from within. If you're a true rock star, the opportunities are limitless!

Requirements

• High School Diploma or GED required
• 1-3 years of billing and/or accounts receivable experience
• Strong knowledge of payer guidelines related to claim submission
• Familiarity with payer websites and billing resources
• Basic medical coding/terminology and insurance practices
• Proficiency in MS Office and ability to learn agency-specific software
• Solid phone communication with empathy, patience, and professionalism
• Ability to work independently, manage time effectively, and quickly learn program structures and procedures.

Responsibilities

• Respond to incoming referrals, verify demographic and insurance information, and assess the organization’s ability to meet patient needs.
• Retrieve and secure insurance authorizations and document all interactions per policy
• Review authorizations to ensure proper coding (including modifiers) and coverage
• Request, track, and obtain pre-authorization from insurance carriers
• Collaborate with Billing Department on account updates and authorization activity.
• Assist with denials by obtaining clinical information, ICD-10 coding, or other details to correct errors.
• Communicate with referral sources, patients, and internal teams to resolve issues and provide alternative resources when needed.
• Conduct courtesy follow-ups, participate in training, and ensure compliance with policies and values.
• Maintain charts, records, and databases of patient authorizations
• Stay informed on authorization requirements for all payors and regulatory guidelines.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED