Direct Orthopedic Care
Pain Management Authorization and Scheduling Specialist
Direct Orthopedic Care, Addison, Texas, United States, 75001
As the Pain Management Authorization and Scheduling Specialist, I report to the Director of Surgical Services. 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, verify medical policies, benefits verification and guest estimates. I lead DOC customer service protocols to ensure the guest receives the required authorization for any services performed within and by DOC. I am trained in the Surgery Scheduling and will lead DOC Customer Service Skills when scheduling guests. Core Responsibilities
I facilitate the authorization process for 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 carriers 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 benefit information for guests and obtain 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.
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, verify medical policies, benefits verification and guest estimates. I lead DOC customer service protocols to ensure the guest receives the required authorization for any services performed within and by DOC. I am trained in the Surgery Scheduling and will lead DOC Customer Service Skills when scheduling guests. Core Responsibilities
I facilitate the authorization process for 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 carriers 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 benefit information for guests and obtain 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.