Procedure Authorization Specialist

5 days ago


Phoenix, Arizona, United States The Center for Orthopedic and Research E Full time
Job Overview

We are seeking a highly skilled Procedure Authorization Specialist to join our team at The Center for Orthopedic Research and Education. As a key member of our team, you will play a critical role in ensuring the timely and accurate authorization of surgical procedures.

Responsibilities
  • Monitor and verify patient demographic information and insurance eligibility, ensuring accurate processing of claims.
  • Accurately complete surgical cost analysis forms and document required information for collection prior to services.
  • Verify benefits on all surgical procedures and document authorizations and progress in patient charts.
  • Communicate effectively with physicians, patients, and co-workers, establishing strong working relationships with internal and external customers.
  • Participate in ongoing training and education of staff to ensure timely confirmation of surgical cases.
  • Work with department managers to respond to and reduce complaints in a timely and professional manner.
  • Assist surgery schedulers with STAT authorizations and ensure strict confidentiality of all health records and member information, adhering to HIPAA guidelines.
  • Identify opportunities for improvement within the daily workflow process and attend department meetings as required.
About Us

The Center for Orthopedic Research and Education is a leading provider of orthopedic care, recognized for our commitment to excellence and patient-centered approach. We are proud to have been ranked #1 for Orthopedic Practices and #1 for Healthiest Healthcare Employers by Ranking Arizona.



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