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Claims and Authorizations Coordinator

Company: Azul Vison
Location: West Covina
Posted on: November 16, 2021

Job Description:

POSITION: Authorizations/Claims CoordinatorDEPARTMENT: Business OfficeREPORTS TO: Network AdministratorEmployee sign-on bonus starting at $500Job Summary: To process and review claims for accuracy, completeness and correct adjudication. Processes and reviews appeals and resubmissions received from providers. Reviews reports to ensure proper coding and correct payment of claims. Reviews authorization requests for completeness of information, collection and data entry.*Education and Experience: *High school diploma or equivalent.Minimum two years-experience in data entry.*Essential Skills and Abilities: *Management of multiple tasks simultaneously.Strong organization with an attention to detail.Ability to work as a team member.Strong computer skills.*RESPONSIBILITIES: *1. Primary ResponsibilitiesReviews claims to make sure that billing requirements are met, and answers inquiries regarding claim status or denial.Processes clean claims and investigates problem claims.Reviews Estimated Utilization Review (EUR) accurately and timely.Resolves discrepancies and incorrect coding or billing on claims received.Process Providers Checks accurately and timely.Identifies and escalates claims with issues to manager when appropriate.Answers incoming and places outbound phone calls from/to providers regarding status of requests, new requests, eligibility and answers general questions.Reviews requests for completeness of information.Processes authorization requestFaxes or scans missing informationMaintains authorization log.Performs other duties as assigned.*CALIFORNIA EYE CARE*Authorization Review and ProcessingClaims Processing*CALIFORNIA EYE SPECIALISTS*Authorization Review and ProcessingClaims Processing*CALIFORNIA EYE CARE/INLAND EMPIRE*Authorization Review and ProcessingMedication Authorization Review and SubmissionsFacility Authorization Review and SubmissionsClaims ProcessingLocation: 1900 West Garvey South,#335, West Covina, CA 91790Job Type: Full-time

Keywords: Azul Vison, West Covina , Claims and Authorizations Coordinator, Other , West Covina, California

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