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 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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