DME Authorization Representative

The Centers for Advanced Orthopaedics Robinwood Division is accepting applications for a busy orthopedic practice for a DME Authorization.

Responsibilities :

• Prioritize incoming authorization requests according to urgency.
• Obtain authorization via payer website for DME items or by phone and follow up regularly on pending cases.
• Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations.
• Respond to clinic questions regarding payer medical policy guidelines.
• Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order.
• Other clinical / clerical duties as assigned.