Authorizations Representative

Spire Orthopedic Partners•Warwick, RI

1d•$20 - $25•Onsite

About The Position

Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut The Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts. Ortho Rhode Island is a world-class group of talented providers and professionals, all working together to offer value and quality in everything we do. Each Ortho Rhode Island team member is dedicated to thinking like a patient, and to offering the best experience in our industry, driven by our core values: delivering on our word, respecting each other, innovating in orthopedics, valuing every individual, and engaging our community.

Requirements

High School Graduate or equivalent
Any combination of education, training, and experience that demonstrates the ability to perform the duties of the position.
Experience with Microsoft Office (Word, Excel, and PowerPoint)

Responsibilities

Obtain MRI Orders/requests for target locations in the organization by monitoring our EMR System, phone, online, or emails.
Conduct Online/Phone Authorization request for MRI.
Conduct Online/Phone authorization investigation of MRI benefits.
Communication of authorization/benefits/co-payments to patients prior to exams.
Update authorization status through process and confirm receipt of MRI.
Scheduling of MRI and follow-up visits with the physicians.
Facilitation of Peer-to-Peer reviews for MRI, as needed.
Provision of Medical records in pursuit of MRI’s.
Documentation of Authorization processed through various systems: Centricity/Exscribe/Health I Pass
Other duties as assigned.