Surgical Authorization Specialist

3 days ago


Jacksonville, Florida, United States Southeast Orthopedic Specialists Full time
Southeast Orthopedic Specialists

We are a regional leader in orthopedic medicine, dedicated to growing with our patients. Our reach will continue to expand to meet the needs of all patients, present and future. It is our wish to make industry-leading five-star orthopedic care accessible to as many people as possible.

Job Summary

We are seeking a highly skilled Surgical Authorization Specialist to join our team. The successful candidate will be responsible for monitoring the authorizations of upcoming surgical cases, verifying patient demographic information and insurance eligibility, and accurately completing surgical cost analysis forms.

Key Responsibilities
  • Monitor the authorizations of upcoming surgical cases on the physician's calendars, ensuring authorizations for surgeries are obtained in a timely and accurate manner.
  • Verify patient demographic information and insurance eligibility, including coordination of benefits, and update necessary information to allow processing of claims to insurance plans.
  • Accurately complete surgical cost analysis forms, documenting the required surgical cost estimation for collection prior to services.
  • Verify benefits on all surgical procedures.
  • Document authorizations and progress of authorizations in the patient's chart and enter the authorization information within case management.
Requirements
  • Two years of experience in the healthcare field, with previous call center experience preferred.
  • Minimum one year in Prior Auth and or Insurance verification.
  • Experience with Vein Authorization highly preferred.
Preferred Qualifications
  • Experience in Spinal Cord, Kyphoplasty, and Imaging highly preferred.
What We Offer
  • Competitive Health & Welfare Benefits.
  • Monthly stipend to use toward ancillary benefits.
  • HSA with qualifying HDHP plans with company match.
  • 401k plan after 6 months of service with company match.
  • Employee Assistance Program available 24/7.
  • Employee Appreciation Days/Events.
  • Paid Time Off & Paid Holidays.


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