Prior Authorizations Rep

Description Academic 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 procedures Review chart documentations to ensure patient meets medical policy guidelines Prioritize authorization requests according to urgency Obtain authorization via payer website or by phone and follow up regularly on pending cases Verify coverage and benefits and calculate any out-of-pocket portions due Contact patients to review any out-of-pocket portions due prior to surgery Requirements Minimum 1 year prior authorization experience Understanding of payer medical policy guidelines to manage authorizations effectively Proficient use of CPT and ICD10 codes Detail-oriented and above-average organizational skills Plans and prioritizes to meet deadlines Ability to multitask and remain focused while managing a high volume, time-sensitive workload Urology experience helpful Requirements Physical 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.