Surgical Authorization Specialist

1 month ago


King of Prussia, United States Center for Orthopedic and Research Excel Full time
Job DescriptionJob Description

Premier Orthopaedics and Sports Medicine is looking for a Surgical Authorization Specialist to work at our King of Prussia, PA office.

Schedule: Full-time, Monday-Friday, hybrid/remote in King of Prussia, PA.

The Company: Premier Orthopaedics is a full-service orthopaedic practice formed in 2000 that specializes in the diagnosis and care for a wide range of orthopaedic injuries and conditions. Through partnership with the Healthcare Outcomes Performance Company (HOPCo), we have grown to over 50 specialty locations and over 100 physicians across the Greater Philadelphia region

We’re proud of the company we’ve built as we’ve grown to over 1000 employees to make Premier a place that people love to come to work every day

At Premier Orthopaedics, we are dedicated to taking care of you so you can take care of business Our robust benefits package includes the following:

  • Competitive Health, Pharmacy, Vision, and Dental Plan Benefits
  • Disability and Protective Benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan with company match
  • Employee Assistance Program that is available 24/7 to provide support
  • Benefits eligibility on the 1st of the month after hire date

ESSENTIAL FUNCTIONS

  • Monitors the authorizations of upcoming surgical cases on the physician’s calendars ensuring authorizations for surgeries
    are obtained in a timely and accurate manner.
  • Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing of claims to insurance plans.
  • Verifies benefits on all surgical procedures.
  • Document authorizations and progress of authorizations in the patient’s chart. Enters the authorization information within
    case management.
  • Must be able to communicate effectively with physicians, patients, and co-workers and be capable of establishing good
    working relationships with both internal and external customers.· Work with department manager to respond to and reduce complaints timely and professionally.
  • Assist surgery schedulers with STAT authorizations.

QUALIFICATION

  • High school diploma/GED or equivalent working knowledge preferred.
  • A minimum of 2 years of experience in the healthcare field is required and previous experience in referrals/authorizations, front office, and/or charge posting is required.
  • Excellent organizational skills and strong customer service orientation are required with a strong background in computers and data entry.
  • Working knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial
    payers, and other funding sources.
  • Working knowledge of insurance websites.
  • Skill in effective organization and billing requirements and authorization processes.
  • Ability to understand patient demographic information and determine insurance eligibility.
  • Ability to work independently and demonstrate the ability to analyze data.


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