Surgical Authorization Coordinator

2 weeks ago


King of Prussia, Pennsylvania, United States Center for Orthopedic and Research Excel Full time
Job Overview

Center for Orthopedic and Research Excel is seeking a dedicated Surgical Authorization Coordinator to join our dynamic team.

Work Schedule: Full-time, Monday to Friday, with a hybrid/remote option.

About Us: At Center for Orthopedic and Research Excel, we are committed to providing exceptional orthopedic care. Our practice is renowned for its expertise in diagnosing and treating a variety of orthopedic conditions. We pride ourselves on our growth and the strong relationships we have built within the community.

Employee Benefits: We value our employees and offer a comprehensive benefits package, which includes:

  • Competitive health, pharmacy, vision, and dental insurance options.
  • Disability and protective coverage.
  • Health Savings Account (HSA) with qualifying plans and company contributions.
  • 401(k) retirement plan with employer matching.
  • 24/7 Employee Assistance Program for support.
  • Eligibility for benefits starting from the first of the month following your hire date.

Key Responsibilities:

  • Oversee the authorization process for upcoming surgical procedures, ensuring timely and accurate approvals.
  • Confirm patient demographic details and insurance eligibility, including coordination of benefits; update and verify necessary information for claims processing.
  • Validate benefits for all surgical interventions.
  • Document authorization statuses and progress in patient records, entering relevant information into case management systems.
  • Communicate effectively with physicians, patients, and colleagues, fostering positive working relationships with both internal and external stakeholders.
  • Collaborate with department management to address and resolve complaints in a timely and professional manner.
  • Support surgery schedulers with urgent authorization requests.

Qualifications:

  • High school diploma or GED is preferred; equivalent experience is acceptable.
  • A minimum of two years of experience in the healthcare sector is required, with prior experience in referrals/authorizations, front office operations, or charge posting.
  • Strong organizational skills and a customer-focused approach are essential, along with proficiency in computer systems and data entry.
  • Familiarity with eligibility verification, benefit confirmation, and prior authorization processes from various insurance providers.
  • Proficient in navigating insurance websites.
  • Ability to effectively manage billing requirements and authorization workflows.
  • Capability to interpret patient demographic information and assess insurance eligibility.
  • Self-motivated with strong analytical skills.


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