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:
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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:
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Responds promptly to patient and staff needs.
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Verify insurance eligibility, benefits, and pre-authorization/pre-certification via telephone and internet.
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Initiate the process of obtaining prior authorization, if required, to maximize the opportunity for reimbursement.
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Update patient information as needed in Athena.
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Participates in facility committees, meetings, in-services, and activities.
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Compliant with HIPAA, OSHA, state and federal regulation, and company policies and procedures.
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Perform other miscellaneous office/clerical duties as needed.
Requirements:
Education and Qualifications:
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High School Diploma or GED certificate.
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Graduate of a certified medical office training course preferred
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Basic knowledge of ICD-10 coding and CPT codes
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2 years’ experience surgery authorization process required.
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Knowledge of EMRs, Athena preferred.