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    Procedure Authorization Specialist - Phoenix, United States - Center for Orthopedic and Research Excel

    Center for Orthopedic and Research Excel
    Center for Orthopedic and Research Excel Phoenix, United States

    1 week ago

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    Description

    Job Description

    Job Description

    Benefits:

    • $18.00-$21.00/HR
    • Competitive Health & Welfare Benefits
    • Monthly $43 stipend to use toward ancillary benefits
    • HSA with qualifying HDHP plans with company match
    • 401k plan after 6 months of service with company match (Part-time employees included)
    • Employee Assistance Program that is available 24/7 to provide support
    • Employee Appreciation Days
    • Employee Wellness Events

    Minimum Qualifications:

    • Two years of experience in the healthcare field is required with previous call center experience is preferred.
    • Minimum one year in Prior Auth and or Insurance verification

    Preferred: Experience in Spinal Cord, Kyphoplasty and Imaging highly preferred

    Essential Functions

    • Monitors the authorizations of upcoming surgical cases on the physician's calendars ensuring authorizations for surgeries are obtained in a timely and accurate manner.
    • Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing of claims to insurance plans.
    • Accurately completes surgical cost analysis form, documenting the required surgical cost estimation for collection prior to services.
    • Verifies benefits on all surgical procedures.
    • Document authorizations and progress of authorizations in the patient's chart. Enters the authorization information within case management.
    • Must be able to communicate effectively with physicians, patients, and co-workers and be capable of establishing good working relationships with both internal and external customers.
    • Participate in providing ongoing training and education of staff as it relates to new processes to ensure timely confirmation of surgical cases.
    • Work with department manager to respond to and reduce complaints timely and professionally.
    • Assist surgery schedulers with STAT authorizations.
    • Ensure strict confidentiality of all health records, member information and meet HIPAA guidelines.
    • Assists in identifying opportunities for improvement within the daily workflow process.
    • Attends department meetings as required.

    About us:

    The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona: The Best of Arizona Businesses?

    • #1 for Orthopedic Practices
    • #1 for Healthiest Healthcare Employers
    • #3 for Best Healthcare Workplace Culture
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