Pain Management Authorization and Scheduling Specialist

3 weeks ago


Addison, United States Direct Orthopedic Care Full time

As the Pain Management Authorization and Scheduling Specialist, I report to the Director of Surgical Services. I create a connection with DOC guests and ensure that our value of tenacious caring occurs. I do this by understanding the value of communication, a helpful hand and the importance of relating to one's needs.

Lead Outcomes

  • I maintain guest confidentiality and ensure PHI is secure at all times. I obtain a comprehensive knowledge and working understanding of HIPAA regulations and continual compliance.
  • I lead the authorization process, verify medical policies, benefits verification and guest estimates.
  • I lead DOC customer service protocols to ensure the guest receives the required authorization for any services performed within and by DOC.
  • I am trained in the Surgery Scheduling and will lead DOC Customer Service Skills when scheduling guests.
Core Responsibilities
  • I facilitate the authorization process for surgery, pain procedures and bracing.
  • I communicate with providers and other team members of the guests' authorization, having awareness of delays, and providing continual communication with all.
  • I maintain compliance with payer-specific reimbursement guidelines.
  • I am responsible for tracking, obtaining, and extending authorizations from various carriers in a timely manner.
  • I follow up and have confirmation of all authorizations obtained; I work to help find solutions when denials are received.
  • I verify benefit information for guests and obtain precertification/authorizations when necessary, as well as other tasks assigned..
  • I assist our guests as needed.
I exemplify the following competencies
  • My leadership is proactive.
  • My work shows great attention to detail.
  • My behaviors and standards model DOC's values and deliver a service experience that is unrivaled.
  • I use active listening skills.
  • My behavior is enthusiastic.
  • I enjoy working as part of a team.
  • I am flexible and adaptable.
  • I am able to lift up to 50lbs.
  • I am proficient in computer skills.


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