Authorization Specialist

Overview:

OrthoUnited, Inc. - Spectrum Campus located in North Canton is a large orthopaedic practice, seeking a detail-oriented and organized Authorization Specialist to join our team. As an Authorization Specialist, you will play a crucial role in ensuring that medical procedures and services are properly authorized and approved by insurance providers. This position requires knowledge of medical coding and insurance verification. Exceptional candidates gravitate to OrthoUnited Spectrum Campus because of its passion for delivering excellent service to our patients and families, commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.

Duties:
- Verify insurance coverage and obtain necessary authorizations for medical procedures and services such as : DME, Medications, Testing, Injections, Surgical Procedures
- Communicate with insurance companies to resolve any authorization issues or discrepancies including appealing denials
- Collaborate with medical office staff to ensure timely and accurate authorization for procedures or services upon request.
- Maintain up-to-date knowledge of insurance policies, guidelines, and regulations
- Assist patients with questions or concerns regarding their insurance coverage

Requirements:
- Previous experience working in a medical office required, Orthopedic Experience is a plus

-Insurance Verification experience Required

-Availity, Cohere, Evicore, Covermymeds Experience required

-Spine/Pain Management Procedure experience preferred

-Orthopaedic Surgery experience preferred

- Strong understanding of medical coding principles and guidelines
- Familiarity with CPT and ICD-10 codes
- Knowledge of insurance verification processes
- Proficient in using electronic health record systems and other relevant software applications Medent experience is a plus
- Excellent attention to detail and accuracy in data entry and documentation
- Strong communication skills, both verbal and written
- Ability to multitask and prioritize tasks in a fast-paced environment

Join our team as an Authorization Specialist and contribute to providing quality healthcare services to our patients. We offer competitive compensation packages, including benefits. If you meet the requirements for this position, we encourage you to apply today.

Note: All positions at our company are paid positions.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person