Insurance and Financial Coordinator

Our office is seeking a detail-oriented, patient-focused coordinator to process prior authorizations and discuss a financial responsibility with our patients. You’ll collaborate closely with surgeons, schedulers, billing, and patients to secure timely approvals and provide clear, compassionate guidance on coverage and costs.

Key Responsibilities:

• Submit and track prior authorization requests for every patient on the surgical schedule, ensuring pre-approval prior to surgery.
• Obtain retroactive authorizations when required.
• Prioritize workload based on authorization timelines, payer requirements, and clinical urgency.
• Support surgery schedulers with urgent/STAT authorizations.
• Create and deliver patient estimates based on the recommended surgical plan.
• Communicate coverage and financial details, address questions regarding surgical estimates.
• Review and verify patient demographics and insurance coverage.
• Answer patient questions about billing, estimates, and financial assistance.
• Document all patient/insurance correspondence in the appropriate tasks and comments sections.
• Maintain complete, accurate, and timely records.
• Apply office policies regarding deposits, cancellations, and appointment fees when assisting patient calls.
• Communicate effectively with physicians, patients, coworkers, and hospital contacts.
• When confirming pre-op appointments, check Azalea for signed surgical packets; if missing, remind patients to complete before arrival.
• Partner with the surgery scheduler: reference the Google surgical calendar to confirm arrival times and ensure all pages of surgical packets are signed before the patient leaves pre-op.
• Prepare for and meet with Dr. Sinervo’s patients during pre-op to review surgical packets.
• Notify surgery schedulers when a patient changes to Self-Pay or Insurance; update class in demographics and reflect changes in tasks and surgical facesheets (via email/phone as needed).
• Follow up on any unresolved insurance-related discussions.
• Answer phones when overflow lines ring (front desk occupied).
• Perform additional duties and provide cross-coverage as needed.

Requirements:

• 2+ years in medical prior authorizations, surgical scheduling, or revenue-cycle/front-office role (specialty surgery experience a plus).
• Ability to keep up with a high volume of patients.
• Bilingual (English/Spanish) REQUIRED.
• Working knowledge of insurance plans (commercial, marketplace, OON vs. INN, retro auths, CPT/ICD10).
• Experience discussing financial responsibility with patients.
• Proficiency with EHR/PM systems (Azalea preferred).
• Strong documentation, organization, and follow-through.
• Excellent verbal and written communication; calm, empathetic, and professional with patients.
• High integrity and attention to detail; able to handle confidential information (HIPAA compliant).
• Experience with surgical authorizations and hospital coordination

Compensation & Benefits:

• Employer-paid Medical and Dental insurance (employee-only; eligibility after 3 months)
• 401(k) profit-sharing plan eligibility after 1 year
• Paid Time Off (eligible after 2 months):
  • After 2 months: 10 days.
  • After 1 year: 15 days.
  • After 2 years: 20 days.
  • After 5 years: 25 days.
• Paid holidays.
• Generous annual Christmas bonus.

Work Schedule:

• Monday & Friday: 7:00 AM - 3:30 PM.
• Tuesday - Thursday: 9:00 AM - 5:30 PM.
• No weekends required.
• This is an in-office position (not remote).
  
  

Job Type: Full-Time.

Salary: $45,000 annually.

CEC is an equal opportunity employer. We celebrate diversity and are committed to a respectful, inclusive workplace.