Qureos Mentor

Orthopedic Centers of Colorado

<div>Description:

Position Overview:
The Authorization Specialist supports the Clinical, Imaging, and Physical Therapy departments. Daily tasks will include verification of a patient&rsquo;s insurance information, obtaining authorizations for, but not limited to, procedures, surgeries, injections, imaging, office visits, and pre-collection for upcoming services to be rendered. This role will also actively interact with the medical staff and patients.
ESSENTIAL FUNCTIONS:<ul><li>
Authorize scheduled procedures to include surgeries, injections, medications, imaging and other items needing authorization with insurance.</li><li>
Verify eligibility and benefits for all patients and procedure codes, pre-collect payment for surgeries and other procedures as required by the department</li><li>
Ensure compliance with benefits, authorizations, and/or funding requirements and limitations.</li><li>
Confirm that all information documented in the Practice Management System is accurate.</li><li>
Document work processes as required.</li><li>
Educate staff members on authorization obligations and accountability to internal processes in a timely manner.</li><li>
Manage authorization queue by auditing daily changes and having clear documentation.</li><li>
Setup Patient tracking via tasking within the patient Electronic Medical Records System.</li><li>
Innovation of processes to facilitate the most efficient workflow.</li><li>
Document in Electronic Health Records System prior authorizations information obtained.</li><li>
Treatment authorized, date range approved for, authorization numbers and insurance company contact information.</li><li>
Must be able to recognize and respond appropriately to urgent situations.</li><li>
Follow all written protocols and procedures of the clinic including the OCC handbook, all department policy and procedures.</li><li>
Provide timely, high quality patient service and submission of authorizations, from all areas of responsibility by being courteous and helpful to all.</li><li>
Perform other duties assigned by OCC leadership.</li></ul>
Requirements:

REQUIRED QUALIFICATIONS AND SKILLS:<ul><li>
Medical terminology, ICD-10 and CPT coding knowledge</li><li>
Knowledge of contracted insurance plans and procedures</li><li>
Solid computer and phone skills</li><li>
Strong organizational and interpersonal skills</li><li>
Ability to prioritize responsibilities and multi-task efficiently and effectively</li><li>
Adaptability to different plan and lien requirements</li></ul>
PAY &amp; BENEFITS:<ul><li>
Medical, Dental and Vision Insurance</li><li>
Generous PTO package and paid holidays</li><li>
Company-paid life insurance and long term disability insurance</li><li>
Ability to purchase accident insurance, short and long-term disability insurance.</li><li>
Opportunities for internal training and development</li><li>
Retirement Plan eligibility after one month of service with eligibility in company profit sharing</li><li>
Most positions offer Monday &ndash; Friday work schedules</li></ul>
WORKING CONDITIONS:<ul><li>
Typical business office environment</li><li>
Possibility of local travel</li><li>
Constant viewing of computer monitor, mousing and typing</li><li>
Frequent standing, walking, sitting, lifting, bending, handling up to 10 pounds</li><li>
Specific vision abilities required by this job include close vision, color vision, peripheral vision, and ability to adjust focus</li><li>
Hours of business are Monday &ndash; Friday from 8:00 a.m. to 5:00 p.m. Must be able to work early, late and long hours, as needed, to meet the essential functions of the job</li></ul></div>

Authorizations Specialist

Join Orthopedic Centers of Colorado and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Orthopedic Centers of Colorado

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Authorizations Specialist