Authorization Specialist
Orthopedic Care Partners
Job DescriptionJob DescriptionDescription: JOB OVERVIEW:The Orthopaedic Institute is currently seeking an Authorization Specialistto join our team. The primary function of the position will be to obtain pertinent insurance benefit information and authorization for patients scheduled to receive services at our office.ESSENTIAL FUNCTIONS INCLUDE, BUT ARE NOT LIMITED TO:Responsible for ensuring insurance companies are contacted to verify benefits through phone calls and/or web based sitesPrioritizes workload to ensure deadlines are metDocuments the insurance and authorization verification information in the EMR systemEnsure coverage restrictions are documented and addressedCompletes any additional job duties as assignedRequirements: QUALIFICATIONS/LICENSE:NoneEDUCATION:High School Diploma or GED required1 – 2 years’ experience in benefit verification or related field requireSKILLS:Excellent customer services skillsExcellent written and verbal communicationAbility to multi-task, manage details and organize efficiently and effectively.Must have knowledge of medical terminology and procedures, knowledge of health insurance industry practices and/or medical billing proceduresExperience with medical scheduling/billing systems is desiredComputer literacy requiredPHYSICAL REQUIREMENTS:The physical demands describe here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus.While performing the duties of this job, the employee is regularly required to talk and hear.Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)Frequently required to stand, walk, sit, use hands to feel, and reach with hand and armsOccasionally lift and/or move up to 20-40 pounds.Fine hand manipulation (keyboarding).Travel may be required to existing or new TOI locations.
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