Pain Specialists of America LLC - Authorization Coordinator chez Pain Specialists of America LLC

Pain Specialists of America ("PSA") is a Texas-based, multisite comprehensive pain management company that includes over 11+ locations.

We are seeking talented professionals who can support the business and help it achieve its strategic objectives.

The position requires a strong understanding of insurance requirements including, but not limited to government, commercial, and workers’ compensation payors. The Authorization Coordinator is responsible for ensuring that all payor requirements are met to secure payment and provides patient cost estimates for procedures.

Detailed Responsibilities

• Verifies Eligibility and Benefits – Coordinate with patient’s medical coverage to ensure coverage is active and obtain benefits associated with plan as it pertains to the practice; inputs all payor demographic data into EHR system
• Obtains Referrals and Authorizations – Submit necessary requests for referrals and authorizations for all medical services including office visits, procedures, and DME; follows up with payors to ensure each patient scheduled has all items required to secure reimbursement; communicates with surgery scheduling regarding status of requests
• Produces Cost Estimates – Based on benefits obtained, creates and distributes cost estimates for all scheduled procedures; assists with incoming cost inquiries.

Benefits:

• Medical, Dental, Vision Insurance
• 401k w/company match contribution
• Paid Time Off
• Short & Long-Term Disability
• HSA (w/company contribution) & FSA
• Life Insurance (company paid & voluntary options)
• 10 Paid Holidays for the Year 2025
• Employee Assistance Programs

Education and Experience/Technical Skills

• High school diploma or equivalent (Required)
• Minimum of three years of work experience in a medical office business setting
• Minimum of two years of experience with medical insurance or in a previous Medical Authorization role
• Proficient in MS Word, Excel, PowerPoint and Outlook
• Must be organized and detail-oriented
• Must possess excellent written and verbal communication skills
• Must be able to multi-task in a fast-paced environment and meet deadlines
• Knowledge of insurance terminology and concepts related to medical billing

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