The Neuron Clinic is a busy outpatient neurology practice with locations in Chula Vista, Temecula, and San Marcos, CA. We are passionate about delivering high-quality patient care. We accept Medicare, Medi-Cal, Tricare, and most HMOs and commercial PPOs. We are seeking a healthcare professional that is passionate about quality care and making a difference in our patients lives.

Why Join the Team?

Competitive Compensation

Generous Health Insurance Coverage: Medical & Dental

Retirement Plan - Dollar for Dollar match

Paid Vacation Accruals

Paid Holidays

Paid training

Work alongside extremely talented highly specialized doctors

Excellent Work-life Balance

Summary

The Prior Authorizations Coordinator is responsible for submitting, coordinating, distributing, and following up on outbound referral orders placed by internal physicians. They must use their interpersonal skills to resolve scheduling and access related issues as well as effectively collaborate with patients, team members, physicians and other stakeholders to maintain a high level of efficiency and quality care. Must have strong communication skills, providing patients with appointments and information about their appointments. The Prior Authorization Coordinator is responsible for obtaining insurance approvals to ensure continuity of care for our patients.

Essential Duties and Responsibilities

Works with staff to guarantee timely processing of all outgoing referrals; participates in Prior Authorizations workflows as directed by supervisor or as needed for staff coverage

After submitting authorizations, performs data entry into productivity tracker and EHR; checks status of submitted authorizations at appropriate interval; contacts patients upon approval for external authorization to inform them of approval; contacts patients to inform them of authorization denials

Accesses working directory of external providers and facilities to refer to; guarantees that patients are referred to the appropriate facilities at the appropriate level of care for the appropriate order

Maintains working knowledge of insurance portals for electronic submission of authorizations

Preferred Education and Experience

Education and/or degree in healthcare preferred

At least 1 year of experience as a Prior Authorizations Coordinator or related role with robust knowledge of local insurances, authorization requirements, and referrals management preferred

Special Conditions of Employment

Furnish proof of COVID-19 vaccination

Knowledge Skills and Abilities

Knowledge of medical terminology and procedural coding; includes ability to interpret insurance information.

Knowledge of ICD-10 and CPT codes

Experience with insurance plans, third-party payer practices and guidelines, and pre-certification and referral management for insurance plans.

Experience working in a metric-driven work environment.

Excellent time management skills, be highly organized, self-motivated.

Maintain a high level of productivity and confidentiality.

Strong knowledge of computer-based systems such as Excel, Word, and the Internet with the ability to quickly learn new systems.

The ability to follow through timely on tasks is essential.

Strong interpersonal skills to work effectively with people of diverse cultural, educational, economical, and social backgrounds.

Bilingual English/Spanish preferred

Schedule

8 hour shift

Monday - Friday