As a Medical Authorizations Representative, you would be crucial to our mission because you would be verifying patient insurance and obtaining authorizations for orthopedic procedures to optimize the patient experience. On any given day, you could ensure a patient is authorized to have imaging done to aid in their treatment or speak with insurance companies about authorizations for surgeries.
Be a part of our family and contribute to your community in a real and tangible way. Apply now to be a part of something fantastic!
What would you do as a Medical Authorizations Representative?
This position focuses its time and effort on the following duties, though others may be required. You can expect to regularly:
- Obtain authorizations from patients’ insurance companies prior to treatment, including for surgeries, procedures, injections, referrals, durable medical equipment, imaging, etc.;
- Interact with insurance companies, various hospital departments and physician offices to effectively obtain authorizations for the next step in the treatment plan in a patient focused manner;
- Collaborating with physicians regarding patient treatment plans and coordinating communications between insurance companies and physicians schedules.
- Accurately input information in patient’s electronic medical records for each authorization obtained;
- Communicate with patient to confirm insurance information when authorization cannot be obtained;
- Maintain regular attendance and punctuality to minimize impacts to clinic staffing schedules;
- Provide customer service, maintain confidentiality, and abide by HIPAA requirements.
Requirements
- Certifications/Education
- High School diploma or GED;
- Knowledge of:
- Customer service principles and practices;
- Experience:
- Using computer systems and applications, including entering data and typing;
- Six (6) months of experience working in a medical office environment to gain an understanding of medical terminology.
Preferred Qualifications - How can you set yourself apart from other applicants?
- Good knowledge of medical insurance and medical procedure authorizations.
Work Environment
This position operates in a professional office environment.
Physical: The noise level is usually moderate. This position typically works at a computer station
Benefits
Check out our home page by clicking on View all jobs to explore the many benefits ROC provides to employees! This position is eligible for full-time benefits.