Authorization Representative

Orthopaedics East

Greenville, United States
Onsite (monday-friday, 8:00 a.m. - 5:00 p.m.)
Verify insurance coverage for patients
Obtain prior authorizations from insurers
Maintain accurate documentation records
Orthopaedics East is seeking an Authorization Representative to secure pre-authorizations for various medical procedures and ensure compliance with healthcare regulations. The role involves interacting with insurance companies, maintaining records, and providing excellent customer service to patients and healthcare providers

Job Summary

  • This position is responsible for securing pre-authorizations for various medical procedures including MRIs, surgeries, and injections.
  • The role requires strict adherence to OrthoEast's compliance standards, including the Code of Conduct and Compliance Program.
  • Candidates must be proficient in computer applications like Excel, Word, and Outlook while managing multiple tasks simultaneously.

Matching Summary

Match Score: 85

Orthopaedics East is seeking an Authorization Representative to secure pre-authorizations for various medical procedures and ensure compliance with healthcare regulations. The role involves interacting with insurance companies, maintaining records, and providing excellent customer service to patients and healthcare providers.

Skills & Requirements

Must-have

  • Verify insurance coverage for patients
  • Obtain prior authorizations from insurers
  • Maintain accurate documentation records
  • Collaborate with healthcare providers
  • Ensure compliance with regulations

Nice-to-have

  • Excellent customer service skills
  • Ability to handle stressful situations
  • Process improvement mindset
  • Strong problem-solving abilities
  • Highly organized multitasking skills

Key Requirements

  • High School diploma or GED required
  • Minimum one year clerical experience in medical office
  • Proficient computer skills in Excel, Word, and Outlook

Work Rights

Not specified

Tailored Resume

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