Management

Job Description

Responsibilities

• Independently submit, track, follow up, and obtain prior authorizations through Availity and other US insurance payer portals.
• Handle prior authorizations for spine surgeries, spinal injections, and related procedures.
• Coordinate with insurance companies, physician offices, and patients to resolve authorization-related issues.
• Manage referrals and coordinate with referring providers.
• Schedule, reschedule, confirm, and coordinate patient appointments.
• Handle inbound and outbound patient calls using RingCentral.
• Configure and manage RingCentral settings as required.
• Manage and update patient information within eClinicalWorks (eCW), Epic, and other EHR platforms.
• Prepare provider schedules and calendars.
• Order laboratory tests and medication refills as directed.
• Prepare reports, trackers, dashboards, and documentation using Microsoft Excel, Adobe PDF, and other productivity applications.
• Prepare credentialing packets for providers and healthcare facilities.
• Monitor, organize, and process incoming faxes accurately.
• Manage shared email inboxes and ensure timely responses and follow-ups.
• Track pending tasks and workflows to completion.
• Contact patients, providers, insurance companies, and healthcare facilities by phone and email and other applications.
• Analyze patient lists to identify preventive care opportunities and pending actions.
• Upload, scan, and organize documentation within EHRs and other applications.
• Support physicians and facilities with additional administrative and operational responsibilities.
• Maintain strict compliance with HIPAA and organizational standards.

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