Medical Authorization/Surgical Precertification Specialist

Medical Authorization/Surgical Precertification Specialist

Established in 1970, Orthopedic Associates of Hartford, P.C. is one of the area's largest and most respected orthopedic specialty groups.

In support of high-quality patient care, we are currently seeking an experienced Medical Authorization/Surgical Precertification Specialist (onsite 1-2 days remote) with Epic experience to join our team. The successful candidate will have at least two years' experience in medical authorization/precertification for either surgical cases, MRIs, or injections and must possess the ability to work independently, be a quick learner, possess strong attention to detail, have a strong work ethic with impeccable attendance and reliability, and the desire to be part of a great team.

Functions of the job include, but may not be limited to:

• Communicate with insurance companies to provide information necessary to obtain prior authorizations.
• Access online insurance portals to enter and obtain prior authorizations.
• Gather appropriate demographic and insurance related details.
• Communicate with physicians regarding peer-to-peer reviews for insurance companies.
• Communicate with patients and staff in a prompt, pleasant and helpful manner.
• Answer questions regarding patient's care with outside organizations.
• Verify patient demographic and eligibility information and relay changes to appropriate staff.
• Other duties as assigned.

Requirements of this position include, but may not be limited to:

• High School Diploma or GED
• Two years medical prior orthopedic authorization experience preferred.
• Previous experience with Epic EMR systems.
• A proven track record of being able to handle multiple priorities in a pro-active manner.
• Ability to stay current in an automated work que with assigned cases.
• Clear and concise documentation skills.
• Superior written, oral communication, and customer service skills.
• Excellent organizational skills, detail oriented and able to prioritize and multi-task.
• Able to follow written and verbal directions.
• Ability to work collaboratively and efficiently within a team.