Surgery Authorization Specialist
Sterling Ridge Orthopaedics & Sports Medicine - Spring, Texas, us, 77391Work at Sterling Ridge Orthopaedics & Sports Medicine
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Overview
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 Spring Office
Woodforest: 20639 Kuykendahl Rd Suite 200 Spring, TX 77379
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 preferredBasic knowledge of ICD-10 coding and CPT codes2 years' experience surgery authorization process required.Knowledge of EMRs, Athena preferred.