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Doctors run tests, perform surgeries, and use equipment that can save lives. However, these things can also cost an incredible amount of money. In fact, some of them won’t be covered by insurance at all, no matter how innovative they may be.
Medical facilities won’t give them away for free, either. After all, facilities that provide free healthcare may be popular, but they may be unable to stay in business.
That’s where an Authorization Coordinator can help. An Authorization Coordinator makes sure the insurance company will pay before the costs are incurred.
As an Authorization Coordinator, you likely work for a medical center, a hospital, or a dental office. Nursing homes, long-term care facilities, and physical therapy clinics may also have jobs for you to fill. No matter where you work, however, the procedures are much the same.
Each time a Doctor, Dentist, Surgeon, or other medical professional requests an expensive item, you’re notified. You look at the expense the medical professional wants to charge, and you look up the patient’s insurance program to see how much of that cost is covered. Sometimes, you fill out a form for the insurance company detailing what condition the patient has and what other options have been tried before.
When the insurance company sends in an approval, you notify the team that they can move forward. If the company rejects the idea, however, you put the brakes on the plans, unless the patient agrees to pay without the help of insurance.
Each step you take must be documented carefully, both in your computer system and in the patient’s medical record. This allows you to recreate your steps months down the line if questions about payment arise.