Surgery Authorization Specialist - Spring, United States - Sterling Ridge Orthopaedics and Sports Medicine

Sterling Ridge Orthopaedics and Sports Medicine
Sterling Ridge Orthopaedics and Sports Medicine
Verified Company
Spring, United States

1 month ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description
:

We are looking for a
full-time Surgery Authorization Specialist to join our top notch team of professionals

Position will be located at our Woodforest or Spring office.

Spring Office:
20639 Kuykendahl Rd Suite 200 Spring, TX 77379

Woodforest:
750 Fish Creek Thoroughfare Montgomery, TX 77316


Previous experience with orthopedics is preferred but not required

Hours:

8:
00 AM to 5:
00 PM or 8:
30 AM to 5:
30 PM with rotating Saturdays (every 6-8 weeks from 8:
00 AM to 12:
15 PM)


Job Summary:


  • Responsible for all aspects of insurance verification and authorizations. Primary focus on Surgery Authorizations, VISCO injections. DME and MRI obtaining benefits, getting authorizations, and scheduling patients.

Essential Duties:


  • Responds promptly to patient and staff needs.
  • Verify insurance eligibility, benefits, and preauthorization/precertification via telephone and internet.
  • Initiate the process of obtaining prior authorization, if required, to maximize the opportunity for reimbursement.
  • Update patient information as needed in Athena.
  • Participates in facility committees, meetings, inservices, and activities.
  • Compliant with HIPAA, OSHA, state and federal regulation, and company policies and procedures.
  • Perform other miscellaneous office/clerical duties as needed.

Requirements:


Education and Qualifications:


  • High School Diploma or GED certificate.
  • Graduate of a certified medical office training course preferred
  • Basic knowledge of ICD10 coding
  • 2 years' experience insurance verification process required.
  • Knowledge of EMRs, Athena preferred.
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