Orthopedic Authorization Coordinator

17 hours ago


Sioux Falls, South Dakota, United States Orthopedic Institute Full time
Job Summary

We are seeking a highly skilled Authorization Specialist to join our team at Orthopedic Institute. As a key member of our staff, you will play a critical role in ensuring that patients receive the necessary treatment and services in a timely and efficient manner.

The ideal candidate will have a strong background in medical terminology, insurance regulations, and customer service. They will be proficient in Microsoft Office applications and have excellent communication and interpersonal skills.

Responsibilities:

  • Verify and document insurance eligibility and benefits.
  • Review and submit clinical documentation to ensure treatment/services are appropriate for the diagnosis.
  • Obtain and verify insurance authorizations for designated patients.
  • Ensure timely initial and subsequent authorizations.
  • Work to reduce and eliminate authorization denials.
  • Review and interpret medical record documentation for patient history, diagnosis, and previous treatment plans.
  • Utilize payor-specific criteria to determine medical necessity for services and procedures.
  • Obtain diagnosis, procedure, and service codes to support medical necessity.
  • Submit demographic and clinical data to payor to request approval for services.
  • Provide referral/pre-notification/authorization services to avoid unnecessary delays in treatment.
  • Maintain compliance with departmental quality standards and productivity measures.

Requirements:

  • High School diploma or equivalent with four years of experience in a medical environment.
  • Completion of a medical terminology course or equivalent.
  • Baseline knowledge and interpretation of medical terminology and codes.
  • Proficient in Microsoft Office applications.
  • Excellent communication and interpersonal skills.
  • Ability to analyze data and use independent judgment.
  • Understanding of authorization processes, insurance regulations, third party payors, and reimbursement practices.
  • Experience utilizing an EMR or medical office experience.
  • Orthopedic experience preferred.


  • Sioux Falls, South Dakota, United States Orthopedic Institute Full time

    Job Title: Insurance Authorization SpecialistWe are seeking a highly skilled and detail-oriented Insurance Authorization Specialist to join our team at Orthopedic Institute. As an Insurance Authorization Specialist, you will play a critical role in ensuring that patients receive the necessary insurance authorizations for their...


  • Sioux Falls, South Dakota, United States Orthopedic Institute PC Full time

    Job SummaryWe are seeking a highly organized and detail-oriented individual to fill the role of Patient Access Representative at Orthopedic Institute PC.Key ResponsibilitiesAnswer incoming calls and direct them to the appropriate department or individualSchedule appointments and verify all demographic and insurance informationProvide excellent customer...


  • Sioux Falls, South Dakota, United States Orthopedic Institute Full time

    Job SummaryWe are seeking a highly motivated and organized individual to fill the role of Patient Access Representative at the Orthopedic Institute. The successful candidate will be responsible for providing exceptional customer service to our patients, answering incoming calls, and scheduling appointments.Key ResponsibilitiesAnswer incoming calls and direct...


  • Sioux Falls, South Dakota, United States Orthopedic Institute PC Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Patient Service Representative to provide exceptional patient care and support to our medical practice.Key Responsibilities:Greet patients and check them in for appointmentsCollect co-pays and verify insurance informationAnswer phone calls and direct them to the appropriate department or staff...


  • Sioux Falls, South Dakota, United States Orthopedic Institute PC Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Patient Service Representative to provide exceptional customer service to our patients and their families.Key ResponsibilitiesGreet patients and check them in for their appointmentsCollect co-pays and verify insurance informationAnswer phone calls and direct them to the appropriate department...

  • Orthopedic Surgeon

    1 hour ago


    Sioux Falls, South Dakota, United States NP Now Full time

    ## Job Title: Orthopedic Surgeon ## Company Overview NP Now is a physician-led, non-profit healthcare organization dedicated to providing exceptional patient care. Our organization is committed to making a positive impact on the community, and we are seeking an Orthopedic Surgeon to join our team. ## Job Description We are seeking a skilled Orthopedic...

  • Orthopedic Surgeon

    7 days ago


    Sioux Falls, South Dakota, United States NP Now Full time

    Orthopedic Physician OpportunityNP Now, a physician-led, non-profit healthcare organization, seeks an experienced Orthopedic Physician to join our team in Sioux City, Iowa.Job Summary:We are seeking a skilled Orthopedic Physician to provide high-quality patient care in a rewarding and challenging environment. As an Orthopedic Physician at NP Now, you will...


  • Sioux Falls, South Dakota, United States Britt Medical Search LLC Defunct Full time

    Job Title: Orthopedics Nurse PractitionerBritt Medical Search LLC Defunct is seeking an experienced Orthopedics Nurse Practitioner to join our team. As an Orthopedics Nurse Practitioner, you will be responsible for providing high-quality patient care and working closely with our medical team to ensure the best possible outcomes.About the Role:Provide...

  • Orthopedic Surgeon

    2 weeks ago


    Sioux Falls, South Dakota, United States NP Now Full time

    ## Job Title: Orthopedic Surgeon ## Job Summary: NP Now, a physician-led, non-profit healthcare organization, is seeking a skilled Orthopedic Surgeon to join our team in Sioux City, Iowa. As a key member of our medical staff, you will have the opportunity to make a significant impact on the community while enjoying a rewarding career in a growing...

  • Travel Nurse RN

    4 weeks ago


    Sioux Falls, South Dakota, United States Health Advocates Network-Nursing Full time

    Job Title: Travel Nurse RN - Orthopedics SpecialistWe are seeking a highly skilled Travel Nurse RN - Orthopedics Specialist to join our team at Health Advocates Network-Nursing. As a Travel Nurse RN - Orthopedics Specialist, you will be responsible for providing high-quality patient care in an orthopedic setting.Job Summary:This is a 12-week travel nursing...


  • Sioux Falls, South Dakota, United States NP Now Full time

    Orthopedic Surgeon Job DescriptionNP Now, a physician-led, non-profit healthcare organization, seeks a skilled Orthopedic Surgeon to join our team in Sioux City, Iowa.Job Summary:We are looking for a highly qualified Orthopedic Surgeon to provide exceptional patient care and contribute to our growing healthcare system. As an Orthopedic Surgeon with NP Now,...


  • Sioux Falls, South Dakota, United States UnityPoint Health Full time

    Orthopedic Surgeon OpportunityUnityPoint Health is seeking an experienced Orthopedic Surgeon to join our team in Sioux City, IA. As a member of our team, you will have the opportunity to work with a cohesive group of colleagues and supportive staff, providing high-quality patient care in a state-of-the-art facility.Responsibilities:Perform a wide range of...


  • Sioux Falls, South Dakota, United States Orthopedic Institute Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Patient Service Representative to provide exceptional customer service to our patients and their families.Key ResponsibilitiesGreets patients and checks them in for appointments, ensuring a smooth and efficient experience.Collects co-pays and verifies insurance information, maintaining accurate...


  • Sioux Falls, South Dakota, United States Benefis Health System Full time

    Job SummaryBenefis Health System is seeking a highly skilled Certified Athletic Trainer to join our team in providing exceptional patient care in a hospital and clinic setting. As a member of our multi-disciplinary clinical team, you will work under the direction of a physician to deliver specialized orthopedic and musculoskeletal care.Key...


  • Sioux Falls, South Dakota, United States Sanford Health - Solutions by Sanford Full time

    Travel Nurse RN Orthopedic Neurology Job OpportunitySanford Health - Solutions by Sanford is seeking a skilled travel nurse RN to join their team in Sioux Falls, South Dakota.Job SummaryWe are looking for a dedicated and compassionate travel nurse RN to provide high-quality patient care in our Orthopedic Neurology department. As a travel nurse RN, you will...


  • Sioux Falls, South Dakota, United States NP Now Full time

    Job/Practice Description:NP Now, a physician-led, non-profit healthcare organization, is seeking an experienced Orthopedic Physician to join our team in Sioux City, Iowa.This rewarding opportunity offers a mix of outpatient, inpatient, and surgery, with an average of 16 patients per day. Shared call is 1:3, with 10 days per month, and general Orthopedic...


  • Sioux Falls, South Dakota, United States Urology Specialists Full time

    Job SummaryWe are seeking a detail-oriented and organized individual to join our team as a Urology Scheduling Coordinator at Urology Specialists. This full-time position offers a competitive salary and benefits package, as well as a flexible schedule with no nights, weekends, or holidays required.As a Urology Scheduling Coordinator, you will work closely...


  • Sioux Falls, South Dakota, United States Benefis Health System Full time

    About the RoleWe are seeking a skilled Radiologic Technologist to join our team at the Outpatient Orthopedic Center. As a key member of our healthcare team, you will play a vital role in providing high-quality patient care and contributing to the efficient operation of our department.Key ResponsibilitiesCoordinate and perform patient assessments prior to and...


  • Sioux Falls, South Dakota, United States RN-Staff Full time

    Job Title: SD - RN Ortho/Neuro/Surgical - Rapid CityWe are seeking a highly skilled and dedicated Registered Nurse to join our team at Monument Health in Rapid City. As an Orthopedic and Neurosurgical Registered Nurse, you will play a vital role in providing exceptional patient care and contributing to the success of our healthcare team.Key...

  • Travel Nurse RN

    4 weeks ago


    Sioux Falls, South Dakota, United States Sanford Health - Solutions by Sanford Full time

    Job Title: Travel Nurse RN - Orthopedic NeurologySanford Health - Solutions by Sanford is seeking a travel nurse RN for a travel nursing job in Sioux Falls, South Dakota.Job Details:Specialty: Orthopedic NeurologyDiscipline: RNDuration: 13 weeksHours: 36 hours per weekShift: 12 hoursEmployment Type: TravelTravel Details:Department DetailsExperienced RNs come...