Medical Authorization/Surgical Precertification Specialist Job at Orthopedic Associates of Hartford, Farmington, CT

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  • Orthopedic Associates of Hartford
  • Farmington, CT

Job Description


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:

  • High School Diploma or GED
  • Two years medical prior orthopedic authorization experience preferred.
  • Previous experience with Epic EMR systems.
  • A proven track record of being able to handle multiple priorities in a pro-active manner.
  • Ability to stay current in an automated work que with assigned cases.
  • Clear and concise documentation skills.
  • Superior written, oral communication, and customer service skills.
  • Excellent organizational skills, detail oriented and able to prioritize and multi-task.
  • Able to follow written and verbal directions.
  • Ability to work collaboratively and efficiently within a team.

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