Authorization coordinators serve a clerical and managerial role and are responsible for verifying patient-eligibility, coordinating benefits, and facilitating insurance coverage, as well as addressing patients' concerns regarding authorization and turnaround. These coordinators may use Microsoft Office programs and should have prior experience in medical coding, and they typically work for health care companies in an office setting during regular business hours.
This position can be highly demanding, and in the health care industry the nature of business can sometimes be negative in connotation, which can be stressful. Authorization coordinators typically interact with patients alongside staff members from doctors' offices and hospitals, and they also work with other coordinators, managers, and supervisory staff to collect and share information, such as demographics and insurance/clinical information, to ensure that requirements for reimbursement are met.
Educational requirements can vary for this position and a college degree is often required, though there are entry-level positions which only require experience in medical coding. A medical coding certification may also be required, and prior experience in working with insurance and authorizations is highly beneficial. Authorization coordinators should have strong verbal and written communication skills, as mistakes can be costly or damaging, and close attention to detail is also important for record-keeping and documentation.
Authorization Coordinator Tasks
Interview and assist patients with authorization documents, as appropriate.
Maintain appropriate logs or reports according to professional, state, and federal requirements.
Monitor and track patient authorizations, informing supervisor of any expired dates.
Ensure payment for services by verifying benefits with insurance provider.
Obtain, review and input insurance authorization and referrals prior to patient services.