Authorizations Coordinator

About The Auctus Group LLC

Who we are: We’re big on people and culture at the Auctus Group. Our most important role as a company is to provide an amazing working environment for our team. We’ve been work-from-home-warriors since before it was cool. We have an extremely robust benefits package including health, dental, vision, disability, 401K w/ match. Our team gets a month off per year. We support (like encourage and fund) continuing education. We match charitable donations. Our whole goal is: work to live not live to work. Oh and we’re weirdos too…we do remote happy hours and have a book club and goofy stuff like that.

***IMPORTANT FIRST STEP***

In order to be considered for the Authorizations Coordinator Role, you need to complete our online assessment. The assessment can be found by clicking here. We cannot proceed with your application until you have completed the assessment. 

Sound good? Drop us a line!

Who we’re looking for: Smart, talented, tech-savvy, experienced, go-getter types. You’ll do well if:

  • you like a fast-paced environment,
  • you thrive with change and development,
  • you like giving feedback,
  • you’re a team player,
  • you love learning/sleuthing,
  • you’re big on accountability.

About the role

  • Receive and process authorization requests. 

  • Review and analyze case alignment with medical policies and determine likely outcomes for patient cases 

  • Interview and assist patients with collecting authorization supporting documents, as appropriate. 

  • Maintain appropriate logs of open cases, related documents, action points taken with patients, offices and insurance companies. 

  • Verify all patient demographic and insurance information is accurate. 

  • Verify that correct CPT and Diagnosis codes are accurate. 

  • Communicate with physicians’ offices to ensure procedure is followed. 

  • Respond to emails, phone calls in a timely manner.  

  • Verify benefits for patients/clients on an as needed basis. 

  • Obtain, review and input insurance authorization and referrals prior to patient services. 

  • Accept phone calls in queue to assist with customer service, and direct appropriately. 

  • Other duties as assigned. 

Qualifications

  • Ability to assess problem areas and address them effectively.  

  • Managing one’s own time and the time of others. 

  • Written and verbal communication skills are essential to be successful in this position. 
  • Customer/Client Focus- Working towards one goal of serving clients needs.  
  • Previous experience with computer applications, such as Microsoft Office Suite (e.g., Word, Excel, Teams), Adobe, softphone (e.g., RingCentral), web browsers and so on.. 
  • Must have excellent organizational and communication skills at all levels, both verbally and in writing. 
  • Strong attention to detail.
  • Must be able to address, track and solve problems. 
  • Ability to multi-task in a fast paced environment. 
  • Ability to work full time hours during regularly scheduled business hours and additional work hours as needed. 
  • Ability to work from home with integrity. 

 

Authorizations

Remote (Philippines)

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