Orthopedic Centers of Colorado

Compensation

Full Description

Description Position Overview: The Authorization Specialist supports the Clinical, Imaging, and Physical Therapy departments. Daily tasks will include verification of a patient’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 • Authorize scheduled procedures to include surgeries, injections, medications, imaging and other items needing authorization with insurance. • Verify eligibility and benefits for all patients and procedure codes, pre-collect payment for surgeries and other procedures as required by the department • Ensure compliance with benefits, authorizations, and/or funding requirements and limitations. • Confirm that all information documented in the Practice Management System is accurate. • Document work processes as required. • Educate staff members on authorization obligations and accountability to internal processes in a timely manner. • Manage authorization queue by auditing daily changes and having clear documentation. • Setup Patient tracking via tasking within the patient Electronic Medical Records System. • Innovation of processes to facilitate the most efficient workflow. • Document in Electronic Health Records System prior authorizations information obtained. • Treatment authorized, date range approved for, authorization numbers and insurance company contact information. • Must be able to recognize and respond appropriately to urgent situations. • Follow all written protocols and procedures of the clinic including the OCC handbook, all department policy and procedures. • Provide timely, high quality patient service and submission of authorizations, from all areas of responsibility by being courteous and helpful to all. • Perform other duties assigned by OCC leadership. Requirements REQUIRED QUALIFICATIONS AND SKILLS: • Medical terminology, ICD-10 and CPT coding knowledge • Knowledge of contracted insurance plans and procedures • Solid computer and phone skills • Strong organizational and interpersonal skills • Ability to prioritize responsibilities and multi-task efficiently and effectively • Adaptability to different plan and lien requirements Pay & Benefits • Medical, Dental and Vision Insurance • Generous PTO package and paid holidays • Company-paid life insurance and long term disability insurance • Ability to purchase accident insurance, short and long-term disability insurance. • Opportunities for internal training and development • Retirement Plan eligibility after one month of service with eligibility in company profit sharing • Most positions offer Monday – Friday work schedules Working Conditions • Typical business office environment • Possibility of local travel • Constant viewing of computer monitor, mousing and typing • Frequent standing, walking, sitting, lifting, bending, handling up to 10 pounds • Specific vision abilities required by this job include close vision, color vision, peripheral vision, and ability to adjust focus • Hours of business are Monday – 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