Sterling Ridge Orthopaedics & Sports Medicine
Surgery Authorization Specialist
Sterling Ridge Orthopaedics & Sports Medicine, Montgomery, Texas, United States, 77356
Job Type
Full-time
Description
We are looking for a
full-time Surgery Authorization Specialist
to join our top notch team of professionals!
Position will be located at our Woodforest office.
Woodforest: 750 Fish Creek Thoroughfare Montgomery, TX 77316
Previous experience with orthopedics is preferred but not required
Hours:
8:00 AM to 5:00 PM or 8:30 AM to 5:30 PM with rotating Saturdays (every 6-8 weeks from 8:00 AM to 12:15 PM)
Job Summary:
Responsible for all aspects of insurance verification and authorizations. Primary focus on Surgery Authorizations, VISCO injections. DME and MRI obtaining benefits, getting authorizations, and scheduling patients. Essential Duties:
Responds promptly to patient and staff needs. Verify insurance eligibility, benefits, and pre-authorization/pre-certification via telephone and internet. Initiate the process of obtaining prior authorization, if required, to maximize the opportunity for reimbursement. Update patient information as needed in Athena. Participates in facility committees, meetings, in-services, and activities. Compliant with HIPAA, OSHA, state and federal regulation, and company policies and procedures. Perform other miscellaneous office/clerical duties as needed. Requirements
Education and Qualifications:
High School Diploma or GED certificate. Graduate of a certified medical office training course preferred Basic knowledge of ICD-10 coding and CPT codes 2 years' experience surgery authorization process required. Knowledge of EMRs, Athena preferred.
Full-time
Description
We are looking for a
full-time Surgery Authorization Specialist
to join our top notch team of professionals!
Position will be located at our Woodforest office.
Woodforest: 750 Fish Creek Thoroughfare Montgomery, TX 77316
Previous experience with orthopedics is preferred but not required
Hours:
8:00 AM to 5:00 PM or 8:30 AM to 5:30 PM with rotating Saturdays (every 6-8 weeks from 8:00 AM to 12:15 PM)
Job Summary:
Responsible for all aspects of insurance verification and authorizations. Primary focus on Surgery Authorizations, VISCO injections. DME and MRI obtaining benefits, getting authorizations, and scheduling patients. Essential Duties:
Responds promptly to patient and staff needs. Verify insurance eligibility, benefits, and pre-authorization/pre-certification via telephone and internet. Initiate the process of obtaining prior authorization, if required, to maximize the opportunity for reimbursement. Update patient information as needed in Athena. Participates in facility committees, meetings, in-services, and activities. Compliant with HIPAA, OSHA, state and federal regulation, and company policies and procedures. Perform other miscellaneous office/clerical duties as needed. Requirements
Education and Qualifications:
High School Diploma or GED certificate. Graduate of a certified medical office training course preferred Basic knowledge of ICD-10 coding and CPT codes 2 years' experience surgery authorization process required. Knowledge of EMRs, Athena preferred.