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DME Authorization Specialist
2 months ago
The Centers for Advanced Orthopaedics Robinwood Division is seeking a dedicated DME Authorization Specialist to join our thriving orthopedic practice.
In this role, you will play a vital part in ensuring patients receive the necessary medical equipment they require for their recovery and well-being.
Responsibilities:- Prioritize Authorization Requests: Effectively manage incoming authorization requests based on urgency and patient needs.
- Secure DME Authorizations: Obtain authorizations for Durable Medical Equipment (DME) items through payer websites or phone calls, diligently following up on pending cases to ensure timely approvals.
- Maintain Payer Expertise: Keep individual payer files updated with the latest requirements and guidelines to successfully obtain authorizations.
- Provide Clinical Guidance: Respond to clinic inquiries regarding payer medical policy guidelines, offering clear and concise explanations.
- Ensure Accurate Documentation: Verify the accuracy of CPT and ICD-10 diagnoses in procedure orders, ensuring compliance with coding standards.
- Contribute to Team Success: Perform other clinical/clerical duties as assigned, supporting the smooth operation of the practice.
