Authorization Coordinator

Essential Duties and Responsibilities: •Submit referral, precertification and/or authorization for radiation oncology services from schedules two weeks out and checking back for add ons within 72 hours of exam to positively impact DSO for 100% of patients that require authorization.•Average time from precertification and/or authorization request notification and submission to approval should not exceed 5 business days•Review client queues and schedules daily to identify patients requiring authorization per payer requirements.•Review guidelines to confirm if no auth is required that exam meets medical necessity.•Communicate with physician/clinical staff on authorization issues and/or pre-certification requirements by the patient's insurance carriers.•Identify and address denied authorizations to include the appeal process and denial resolution. •Notify Billing Departments of any special instructions, for example, Skilled Nursing Facility or Inpatients. Demonstrated by