Remote Orthopedic Authorization Specialist

JOB SUMMARY

The Authorizations Coordinator is responsible for efficiently obtaining authorizations for in-patient, out-patient, in-office, physical therapy, and injection services – and entering complete and accurate data into required software. This role requires permanent residency within thirty (30) miles of Tampa, FL and trains in Safety Harbor, FL office for up to ninety (90) days before going fully remote.

ESSENTIAL RESPONSIBILITIES:

• Updates patient referrals and authorization information into Practice Management (PM) software system.
• Tracks all authorizations and obtains Letters of Protection on accident-related cases.
• Assists with assigning correct CPT codes for authorizations on hospital surgeries.
• Provides technical guidance to physicians and billing staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
• Works closely with Surgical Coordinators to ensure all authorization timelines for hospitals, office visits, and injections are met.
• Performs other duties as assigned.

QUALIFICATIONS:

• High School Diploma
• Intermediate Medical Terminology and at least three (3) years orthopedic spine and neck experience preferred
• Minimum three (3) years’ experience in a medical environment performing medical pre-authorizations preferred
• Proficiency in Microsoft Outlook, Word, Excel, Teams, Adobe Acrobat, and AllScripts EHR
• Ability to read and interpret orthopedic spine medical procedures and terminology
• Utilizes sound judgment, analytical thinking, and problem-solving skills while working under constantly changing deadlines
• Possesses impeccable attention to detail, sense of urgency, clear communication skills, and follow through
• Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff
• Ability to effectively understand, follow, and communicate oral and written instructions in English. Must read, write, and speak English fluently to ensure clear work-related communication and patient safety.
• Maintains strict levels of confidentiality and sense of urgency to meet required deadlines
• Able to train onsite in Safety Harbor, FL office for up to ninety (90) days prior to going remote. Remote privileges as a condition of continued employment are dependent on satisfactory completion of the training period.

• Possesses and maintains appropriate router and internet speed for Remote work

• Must permanently reside within thirty (30) miles of Tampa, FL

PHYSICAL REQUIREMENTS:

• Able to spend prolonged periods sitting at a desk while working on a computer

INCLUSIVE, EQUAL OPPORTUNITY EMPLOYER