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Addison

    Authorization Specialist - Addison, United States - Direct Orthopedic Care

    Direct Orthopedic Care
    Direct Orthopedic Care Addison, United States

    3 weeks ago

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    Description

    Job Description

    Job Description

    As the Authorization Specialist I report to the Director of Revenue Cycle. I create a connection with DOC guests and ensure that our value of tenacious caring occurs. I do this by understanding the value of communication, a helpful hand and the importance of relating to one's needs.

    Lead Outcomes

    • I maintain guest confidentiality and ensure PHI is secure at all times. I obtain a comprehensive knowledge and working understanding of HIPAA regulations and continual compliance.
    • I lead the authorization process, benefits verification and guest estimates.
    • I lead DOC costumer service protocols to ensure the guest receives the required authorization for any services performed within and by DOC.
    • I am crossed trained in the Surgery Scheduling.

    Core Responsibilities

    • I facilitate the authorization process for all surgery, pain procedures and bracing.
    • I communicate with providers and other team members of the guests' authorization, having awareness of delays, and providing continual communication with all.
    • I maintain compliance with payer-specific reimbursement guidelines.
    • I am responsible for tracking, obtaining, and extending authorizations from various carries in a timely manner.
    • I follow up and have confirmation of all authorizations obtained; I work to help find solutions when denials are received.
    • I verify benefits information for guests and obtain test precertification/authorizations when necessary, as well as other tasks assigned..
    • I assist our guests as needed.

    I exemplify the following competencies

    • My leadership is proactive.
    • My work shows great attention to detail.
    • My behaviors and standards model DOC's values and deliver a service experience that is unrivaled.
    • I use active listening skills.
    • My behavior is enthusiastic.
    • I enjoy working as part of a team.
    • I am flexible and adaptable.
    • I am able to lift up to 50lbs.
    • I am proficient in computer skills.
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