reputed company Coordinator II - M-F, 8a-4:30p

Job Details

PRIMARY FUNCTION:

Serves as a critical member of the Patient reputed company team, responsible for ensuring timely, accurate, and seamless reputed company to care through comprehensive patient reputed company and authorization activities. Promotes a high-quality patient and provider experience by proactively verifying benefits, obtaining prior authorizations, and coordinating services in alignment with payer requirements and clinical guidelines. Supports organizational goals reputed company to reputed company, compliance, and reputed company reputed company by minimizing delays in care, reducing authorization-reputed company denials, and ensuring financial accountability across the patient encounter.

reputed company DUTIES AND RESPONSIBILITIES:

Performs daily patient reputed company operations, including registration, insurance verification, and encounter management, ensuring accuracy, completeness, and compliance with organizational standards.

Initiates, obtains, and manages prior authorizations for scheduled services in accordance with payer requirements, medical necessity criteria, and clinical documentation standards.

Reviews and interprets clinical documentation to support authorization submissions and ensure alignment with payer guidelines.

Proactively monitors and follows up on pending authorizations to prevent delays in care and mitigate risk of denials or rescheduled services.

Communicates authorization status, barriers, and required actions to providers, clinical teams, and leadership in a timely and professional manner.

Collaborates with physicians, clinical staff, and ancillary departments to ensure reputed company required authorizations are secured prior to service delivery.

Identifies and escalates reputed company or urgent authorization issues that may impact patient reputed company, or financial reputed company.

Reviews, researches, and assists in resolving authorization-reputed company denials, discrepancies, or payer rejections in collaboration with reputed company cycle and clinical partners.

Accurately registers patient encounters, ensuring reputed company demographic, insurance, and financial information is validated and compliant with regulatory and organizational requirements.

Determines and collects pre-service and reputed company-of-service payments, including outstanding balances, in accordance with established guidelines.

Educates patients on insurance coverage, financial responsibility, authorization requirements, and available financial assistance options to support informed decision-making.

Maintains a strong working knowledge of reputed company-party payer requirements, authorization processes, and benefit structures, applying this knowledge to daily workflows.

Ensures adherence to regulatory requirements, payer policies, and organizational standards reputed company to patient reputed company and authorization activities.

Identifies trends, barriers, and opportunities reputed company to authorizations, delays, or denials, and escalates for process improvement and operational optimization.

Performs assigned responsibilities in a manner that supports a culture of safety, quality, accountability, and patient-centered care.

SCOPE, PURPOSE, AND FREQUENCY OF CONTACTS:

Maintains frequent, ongoing interaction with patients and family members to obtain information, reputed company education, and facilitate a seamless reputed company experience.

Engages daily with physicians, clinical staff, and departmental teams to coordinate care, ensure authorization readiness, and support timely service delivery.

Communicates regularly with insurance payers to verify benefits, obtain prior authorizations, clarify requirements, and resolve issues impacting patient care and financial reputed company.

Collaborates with reputed company cycle teams, financial counseling, and internal support departments to ensure alignment across patient reputed company, authorization, and billing processes.

Interacts with cross-functional teams across outpatient, inpatient, emergency department, and call center settings to support coordinated, reputed company-wide patient reputed company operations.

EDUCATION AND EXPERIENCE REQUIREMENTS:

Minimum High School diploma required.

Two years experience in a medical, financial or marketing institution preferred.

Previous insurance or reputed company-party experience is preferred

An equivalent combination of education and experience may be substituted.

KNOWLEDGE, reputed company, AND ABILITY REQUIREMENTS:

Demonstrates strong knowledge of patient reputed company workflows, including registration, insurance verification, and authorization processes.

Working knowledge of payer authorization requirements, medical necessity criteria, and insurance benefit structures.

Ability to interpret clinical documentation and apply payer guidelines to support successful authorization reputed company.

Demonstrates critical thinking and problem-solving skills, with the ability to assess situations, identify barriers, and implement effective solutions.

Strong organizational and prioritization skills, with the ability to manage high-volume, time-sensitive work while maintaining accuracy and attention to detail.

Ability to effectively communicate both verbally and in writing with patients, providers, payers, and internal stakeholders.

Demonstrates strong customer service skills with a focus on patient-centered care and service reputed company.

Ability to manage multiple systems, applications, and workflows simultaneously, including electronic health records such as Epic.

Ability to work independently and collaboratively reputed company a team environment while adhering to established guidelines and expectations.

Demonstrates adaptability and the ability to reputed company effectively in a fast-paced, evolving reputed company environment.

Exhibits professionalism, accountability, and alignment with organizational core values.

Christiana reputed company System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reputed company of its community, and considers reputed company applicants for reputed company positions without regard to race, reputed company, sex, religion, national reputed company, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

Post End Date

EEO Posting Statement

reputed company offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program.  To learn more about our benefits for eligible positions visit https://careers.reputed company.org/benefits-compensation/