Surgery Authorization Specialist

OrthoArizona

Posted 2 months ago

Full Time

Peoria, Arizona

In Person

Smart Summary

Responsibilities

The Surgery Authorization Specialist verifies patient information, obtains prior authorizations, and calculates estimated out-of-pocket costs for surgical procedures. They also manage surgical case records in the EMR and coordinate with patients, physicians, and surgical facilities to ensure seamless scheduling.

Qualifications

The Surgery Authorization Specialist will verify patient information, obtain prior authorizations, and calculate estimated costs for surgical procedures. This role requires knowledge of medical terminology, excellent communication skills, and the ability to use practice management software. A high school diploma and at least one year of experience in medical/surgical authorization or benefit eligibility are necessary.

Job Description

Surgery Authorization Specialist   About OrthoArizona:  At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and podiatry needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level providers including physical and occupational therapists.    Today we are one of Arizona’s largest privately owned and most comprehensive orthopedic practices with more than 75 locally and nationally renowned providers across 30 locations, in addition to 2 ambulatory surgical centers and in house state of the art MRI capabilities. At OrthoArizona we are committed to best-in-class patient care, being a pioneer in research and technology, and most importantly, rewarding and recognizing our employees.    As a Surgery Authorization Specialist with OrthoArizona, you will get to: 
  • Verify all necessary information and record information in patient's medical record regarding surgery and any surgical related patient needs. 
  • Obtain accurate benefit information, prior authorization and accurately calculate estimated surgical and surgical DME patient pre-payments for all practitioners (Surgeon, Assistant Surgeon, etc.). 
  • Accurately build Surgical Case Management in EMR. 
  • Communicate with patients, in a timely manner, regarding authorization and estimated patient out of pocket cost. 
  • Collect all applicable estimated patient out of pocket costs for surgery and DME prior to surgical event. 
  • Assist Surgery Scheduler with coordination of necessary equipment, surgical assists, and anesthesia relative to surgeries as needed. 
  • Ensure timely communication of authorization to all surgical facilities as appropriate. Communicate necessary information to patients, staff, and physicians in a timely manner. 
  • Answer telephone, screen calls, clear voicemail, return patient calls in a timely manner. 
  • Available to answer physician, patient, and staff questions regarding patient's upcoming surgeries. 
  • Update patient information in EMR. 
  • Assist in training and orienting of new staff. 
  • All other duties as assigned. 
Qualifications: 
  • Knowledge of medical terminology and anatomy. 
  • Excellent written and verbal communication skills. 
  • Understand/Perform training on practice management software. 
  • Continue to expand knowledge of practice management software as updates occur. 
  • Follow all Standard Operating Procedures. 
Minimum Qualifications: 
  • High school diploma or GED.  
  • Minimum 1-year experience of medical/surgical authorization and/or benefit eligibility. 
Preferred Qualifications: 
  • 2 years of experience surgery scheduling and authorization. 
Full Time Benefits: 
  • Robust paid time off package including, sick time, holidays, & paid time off! 
  • Medical with multiple different plan options. 
  • Health Savings account + company contributions. 
  • Dental & Vision insurance. 
  • 401(k)
  • Pet Discount Plan.
  • ID Theft protection & Legal assistance. 

OrthoArizona

Since 1994, the team of orthopedic specialists at OrthoArizona™ has been dedicated to compassionate care of the highest quality. Our orthopedic surgeons and primary care physicians specialize in all areas of orthopedic care including sports medicine, spine, shoulder and elbow, hand and wrist, hip and knee, foot and ankle, podiatry, pediatrics, trauma, interventional pain management, InstantOrtho™ walk-in clinic for urgent orthopedic care, industrial injuries and workers' compensation. OrthoArizona has convenient office locations throughout the entire valley, each focused on quality care, compassion and exceptional customer service.
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