Authorization Specialist
4 weeks ago
At Orthopedic Centers of Colorado, we are seeking a highly skilled Authorization Specialist to join our team. This role is responsible for managing and processing authorization requests for services, procedures, and equipment within the organization.
Key Responsibilities:
- Authorize scheduled procedures, including surgeries, injections, medications, imaging, and other items requiring authorization with insurance.
- Verify eligibility and benefits for all procedure codes.
- Pre-collect payment for surgeries and other procedures as required by the department.
- Document work processes as required.
- Coordinate processes and route all paperwork as required to meet physician and ASC facility requirements.
- Recognize and respond appropriately to urgent/emergent situations.
- Follow all written protocols and procedures of the clinic, including the OCC handbook, CSO appendix, and all department policy and procedures.
- Demonstrate courtesy and helpfulness toward patients and/or their families.
- Ensure efficient telephone communication when required.
- Work as a team member within the authorizations department and all other departments.
- Perform other duties as assigned by CSO leadership.
Requirements:
- Medical terminology knowledge.
- ICD-10 and CPT coding knowledge.
- Knowledge of contracted insurance plans and procedures.
- Solid computer and phone skills.
- Strong organizational and interpersonal skills.
- Ability to prioritize responsibilities and multi-task efficiently and effectively.
Working Conditions:
- Typical business office environment.
- Possibility of local travel.
- Constant viewing of computer monitor, mousing, and typing.
- Frequent standing, walking, and sitting.
- Frequent stooping, lifting, carrying, and pushing/pulling 10 pounds or more.
- Occasionally lift and/or move up to 50 pounds.
- Specific vision abilities required by this job include close vision, color vision, peripheral vision, and ability to adjust focus.
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