Authorizations Coordinator

Job Description

Job Description

Who We Are

As the largest and most comprehensive orthopaedic team in the state, we bring together the medical expertise of leading orthopaedic and musculoskeletal surgeons, specialists, and research pioneers. Every provider in our network shares a deep commitment to leadership in education, innovation, and research, as well as a dedicated focus on prioritizing patient care across the continuum of treatment.

Why Join Us?

Interested in orthopaedics? Discover why it’s worth pursuing with us. Our career opportunities offer competitive salaries, outstanding benefits, and a platform to pursue your passion. As Michigan’s largest and most comprehensive orthopaedic team, we are actively seeking skilled and enthusiastic individuals to join us today.

Duties and Responsibilities

• Obtain prior authorization from patients’ insurance companies for advanced imaging (MRIs, CTs, Bone Scans, Ultrasounds, EMGs, etc.) and pain management procedures.
• Maintain contact with insurance companies to verify case status and keeps patient and rendering facilities updated when required.
• Notify physicians, patients, and rendering facility when services are not approved, and understand the process and protocols for appealing precertification decisions
• Keep documentation of phone calls including contact names, phone numbers, and reference numbers. Take messages and transfer calls to appropriate departments when necessary.
• Schedule legal meetings, depositions, and trial appearances for providers.
• Understand subpoenas and qualified protective orders.
• Coordinate the scheduling of Independent Medical Evaluations (IMEs) and Expert Reviews.
• Prepare and send invoices with accuracy.
• Reconciles payments and ensures that all balances due are accounted for and properly posted.
• Work well with and responds promptly to requests by Physicians, Mid-levels, and other office staff.

Education, Experience, Licenses, and Certifications

Knowledge, Skills, and Abilities

Our company participates in E-Verify to confirm the employment eligibility of all newly hired employees, as required by federal law.