Medical Authorization / Surgical Precertification Specialist

Description :

Established in 1970, Orthopedic Associates of Hartford, P.C. is one of the area's largest and most respected orthopedic specialty groups.

In support of high-quality patient care, we are currently seeking an experienced Medical Authorization / Surgical Precertification Specialist with Epic experience to join our team. The successful candidate will have at least two years' experience in medical authorization / precertification for either surgical cases, MRIs, or injections and must possess the ability to work independently, be a quick learner, possess strong attention to detail, have a strong work ethic with impeccable attendance and reliability, and the desire to be part of a great team.

Functions of the job include, but may not be limited to :

• Communicate with insurance companies to provide information necessary to obtain prior authorizations.
• Access online insurance portals to enter and obtain prior authorizations.
• Gather appropriate demographic and insurance related details.
• Communicate with physicians regarding peer-to-peer reviews for insurance companies.
• Communicate with patients and staff in a prompt, pleasant and helpful manner.
• Answer questions regarding patient's care with outside organizations.
• Verify patient demographic and eligibility information and relay changes to appropriate staff.
• Other duties as assigned.

PM22

Requirements :

Requirements of this position include, but may not be limited to :

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