Pain Management Authorization and Scheduling Specialist
3 weeks ago
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.
- 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.
- 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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Authorization Specialist
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Comprehensive Pain Care Coordinator
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addison, United States Phaxis Full timeInsurance Verification/Prior Authorization Representative We are seeking a detail-oriented and organized Insurance Verification/Prior Authorization Representative to join our administrative team. In this role, you will be responsible for verifying insurance coverage, obtaining prior authorizations, and ensuring that necessary approvals are in place for...
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