Providence Health & Services Surgery Authorization Coordinator in Tarzana, California

Description:

Providence is calling a Surgery Authorization Coordinator (Full Time) at our Providence Medical Institute Orthopedics location in Tarzana, CA.

In this position you will:

  • Responsible for accurate and timely submission of medical billing claims to appropriate government payors under general supervision.

  • Analyzes and reviews claims to ensure that all payor specific billing requirements are met.

  • Follows-up on billing, determines and applies appropriate adjustments, answers inquiries and updates accounts as necessary to resolve impediments to payment.

  • Performs all duties in an efficient and timely manner per department standards and in compliance with all policies, procedures, and regulatory requirements.

Qualifications:

Required qualifications for this position include:

  • Minimum of two years of successful experience in the health care field in a position demonstrating heavy billing and account follow-up.

  • Experience working in medical group practice preferred.

  • Understands and is able to apply the concepts of revenue cycle management.

  • Proven knowledge of medical and insurance terminology, government billing requirements and current industry standards and practices for account follow up.

  • Proven knowledge and experience with third party clinical/hospital billing systems and claims clearinghouses.

  • Extensive knowledge of medical insurance CPT and diagnosis codes.

  • Ability to establish priorities, organize work, be detail oriented, follow through, perform multiple tasks simultaneously and work effectively with interruptions.

  • Ability to adapt work pace and thought processes during urgent situations.

  • Requires proficiency in use of systems, personal computer and software including Microsoft Office product applications (Word, Excel, Meditech,).

  • Requires advanced communication skills, both verbal and written including outstanding customer service skills and the ability to be professional in representing Providence to patients, payors and physicians.

About the location you will serve:

Providence Health & Services Southern California is further developing its physician integration strategy. Historically, the largest asset has been Providence Medical Institute, a medical foundation that provides administrative and other support services to affiliated medical groups. Providence Medical Institute is expected to grow significantly in the next several years, bringing with it facilities, staff and physician growth to support that objective.

We offer a full comprehensive range of benefits - see our website for details

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Billing / Insurance

Location: California-Tarzana

Req ID: 172696