- This position is responsible for prior authorizations related to the Orthopedics Orthotics program. This duty entails submitting the authorization via online portals or calling directly into the insurance provider to initiate the process. This position is responsible for the accurate submission of all medical records for suggested DME/orthotics, maintaining contact with insurance, and the submission of any necessary information needed for the authorizations.
- This position performs benefits checks for patients. This entails calling each patient's insurance provider to check deductible amounts and out of pocket amounts, confirming start and expiration dates, ensuring Department of Orthopedics providers are in network with patients' health plans, becoming aware of any limitations within the plan, and checking to see whether the insurance plan requires an authorization in order for the DME/orthotics to be covered.
- This position fields billing questions from internal and external customers.
- This position maintains positive relationships with key vendors and assists in onboarding of new vendors
- This position will liaise with CU Medicine when pertinent.
- This position will receive calls from physician's offices, hospitals, patients, and insurance companies, using excellent customer service skills to maintain professionalism.
- This position will accurately enter required data into our computer database/EMR system.
- A bachelor's degree in biological science, nutrition, nursing, health, human services, psychology, counseling, social work, or a directly related field from an accredited institution and 1 year of professional level experience in healthcare administration and insurance pre-authorization.
- A combination of education and related technical/paraprofessional experience may be substituted for the bachelor's degree on a year for year basis.
- Knowledge of medical service coding
- Familiarity with medical terminology
- One to three years of experience in prior authorizations particularly in DME or rehabilitation preferred
- Ability to communicate effectively, both in writing and orally.
- Ability to establish and maintain effective working relationships with employees at all levels throughout the institution.
- Outstanding customer service skills.
- Demonstrated commitment and leadership ability to advance diversity and inclusion.
- Demonstrated proficiency in keyboarding /computer use
- Self-motivated and ability to work effectively in an independent environment
- Provide quality customer service by being available for scheduled shifts. Includes arriving promptly and completing shifts as needed to meet demands of daily call levels
- Excellent communication and organizational skills
- Demonstrated ability to deal effectively with emotionally charged situations
- Detail Orientation
- Strong Organizational and task prioritization skills
- Patient advocacy focus
- Empathy
- A letter of interest describing relevant job experiences as they relate to listed job qualifications and interest in the position (only use if a cover letter is necessary)
- Curriculum vitae / Resume
- Three to five professional references, including name, address, phone number (mobile number if appropriate), and email address
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Orthotics Authorization Specialist - Aurora, United States - University of Colorado
Description
University of Colorado Anschutz Medical CampusDepartment:
Orthopedics
Job Title:
Orthotics Authorization Specialist
Position #:
Requisition #:33415
Job Summary:
Jobs in this career family are responsible for performing a wide range of professional duties to support the university's teaching, research and/or service missions through the provision of health and wellness services, dealing with general, indirect patient care operations and management of healthcare services.
Includes professional assignments in medicine, dentistry, nursing, pharmacy, counseling and behavioral health, public health, dietetics and nutrition, other allied health fields, alternative medicine and therapies, and related disciplines.
This position is responsible for providing accurate and complete data for orthotics-related Durable Medical Equipment (DME) certification and authorization requests, and to provide excellent customer service.
Key Responsibilities:
Work Location:
Onsite - this role is expected to work onsite and is located in Aurora, CO.
Why Join Us:
CU Medicine Orthopedics has an expert team of Orthopedic providers that consists of fellowship-trained surgeons and specialists who provide the highest quality, comprehensive care for your orthopedic needs.
Using cutting-edge technology and minimally invasive techniques, we offer access to the most advanced procedures to get you back to your life as quickly as possible.
From foot and ankle issues to total replacements along with spine and sports medicine injuries, we provide full-service orthopedic care.
We also have providers who specialize in pediatric orthopedics to treat younger patients with customized care.
The University of Colorado offers a comprehensive benefits package that includes health insurance, life insurance, retirement plans, tuition benefits, ECO pass, paid time off - vacation, sick, and holidays and more.
To see what benefits are available, please visit:
Diversity and Equity:
The University of Colorado Anschutz Medical Campus is committed to recruiting and supporting a diverse student body, faculty and administrative staff.
Qualifications:
Minimum
Qualifications:
Qualifications:
Knowledge, Skills and Abilities:
How to Apply:
For full consideration, please submit the following document(s):
Questions should be directed to:
Thomas Roller, THOMAS..EDU
Screening of Applications Begins:
Screening begins immediately and continues until position is filled.
Anticipated Pay Range:
The starting salary range (or hiring range) for this position has been established as
$61,546-$94,682;
EPEW:
$71,688
The above salary range (or hiring range) represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.
Your total compensation goes beyond the number on your paycheck. The University of Colorado provides generous leave, health plans and retirement contributions that add to your bottom line.
Total Compensation Calculator:
ADA Statement:
The University will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at
Background Check Statement:
The University of Colorado Anschutz Medical Campus is dedicated to ensuring a safe and secure environment for our faculty, staff, students and visitors.
Vaccination Statement:
CU Anschutz strongly encourages vaccination against the COVID-19 virus and other vaccine preventable diseases.
If you work, visit, or volunteer in healthcare facilities or clinics operated by our affiliated hospital or clinical partners or by CU Anschutz, you will be required to comply with the vaccination and medical surveillance policies of the facilities or clinics where you work, visit, or volunteer, respectively.
In addition, if you work in certain research areas or perform certain safety sensitive job duties, you must enroll in the occupational health medical surveillance program.
