Authorization Specialist
3 weeks ago
We are seeking an experienced Authorization Specialist to join our team at Direct Orthopedic Care. As a key member of our clinical operations team, you will play a vital role in ensuring seamless communication between patients, providers, and payers.
Key Responsibilities:
- Create and maintain strong relationships with DOC guests and clinic staff.
- Obtain authorization and benefit verification for new Physical Therapy guests.
- Ensure accurate and timely CPT & ICD-10 coding for billing purposes.
- Lead efforts to resolve prior authorization denials and find solutions for efficient workflow management.
- Maintain comprehensive knowledge of PT Authorization guidelines and HIPAA regulations.
Requirements:
- Bachelor's degree in Healthcare Administration or related field.
- Minimum 2 years of experience in medical billing, authorization, or a related field.
- Strong understanding of CPT & ICD-10 codes and health insurance billing processes.
- Excellent communication and organizational skills.
Benefits:
- Competitive salary range: $65,000 - $85,000 per year, depending on experience.
- Comprehensive benefits package, including medical, dental, and vision insurance.
- Retirement plan with company match.
- Generous paid time off and holidays.
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