Authorization Specialist

Pay: $17 per hour

Location: Chandler

About OrthoArizona

At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and sports medicine needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level providers. Our mission is to provide excellent, compassionate care to our patients, their families, and visitors.

As an Authorization and Referral Coordinator with OrthoArizona, you will get to:

· Answer phone in prompt, courteous and helpful manner, screening, and routing calls as needed.

· Creates phone notes in the patient's electronic medical record, and/or provides information to patients.

· Register patients in EMR as applicable.

· Confirm patient demographics and paperwork for accuracy, completion, and missing information.

· Verify insurance eligibility and benefits in accordance with patient insurance coverage for all patient office encounters and referral orders.

· Ensure proper clinical chart documentation is present for all patient office encounters and for all referral orders.

· Obtain prior authorization and/or referrals in accordance with patient insurance coverage for all patient office encounters and referral orders prior to services being rendered.

· Accurately calculate any estimated patient out of pocket costs for services, communicate all out-of-pocket costs to patient, and collect prior to services being rendered.

· Document the authorization status properly in all applicable areas of EMR.

· Build accurate Case Management in EMR and attach appropriate CM as indicated.

· Notify all applicable staff as to status/completion of above processes.

· Courteously interact with patients, family members, visitors, and members of the health care team; directs patient questions and/or concerns to appropriate department; keeps patients informed of auth/referral status.

· Schedule patients for follow-up office visits or procedures, log no-show appointments; assist in indexing all document management images as indicated.

· Maintain medical records in accordance with practice policies and procedures.

· All other duties as assigned.

Qualifications

· Excellent customer / patient service.

· Knowledge of medical terminology.

· Working knowledge of computer programs.

· Excellent written and verbal communication skills.

· Understand/Perform training on practice management software.

· Ability to promote favorable facility image with physicians, patients, insurance companies, and general public.

· Ability to communicate effectively on the telephone.

· Ability to make decisions and solve problems.

· Working knowledge of health insurance plans including reading plan requirements.

· Follow all Standard Operating Procedures.

Minimum Qualifications

· High School diploma or GED.

· 3 – 5 years medical front office, billing, or other administrative experience; and

· Proficiency in authorizations, eligibility, and benefits in a medical office setting.

Preferred Qualifications

· More than 3 years of direct experience and proficiency in authorizations, eligibility, and benefits in a medical office setting.

· Bilingual is a plus.

Full Time Benefits

· Robust paid time off package including, sick time, holidays, & paid time off!

· Medical - including a plan with 100% employer coverage- a $585 monthly value.

· Health Savings account company contributions.

· Dental & Vision insurance.

· Company paid life insurance policy the option to purchase additional benefits to protect you from what life throws at you.

· 401(k) with a company contribution profit sharing!

· Pet insurance.

· ID Theft protection & Legal assistance.

Job Type: Full-time

Pay: From $17.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person