Medical Authorizations Representative

Reno Orthopedic Center•Reno, NV
•Onsite

About The Position

Reno Orthopedic Center is seeking an enthusiastic and dedicated team member to confirm health insurance benefits and obtain necessary approvals for orthopedic procedures, supporting clinical efficiency and a positive patient journey. The position is based at the Main location, 555 N. Arlington. The Medical Authorizations Representative obtains insurance authorizations for surgeries, procedures, injections, referrals, durable medical equipment, imaging, and other treatment needs. The role works with insurance companies, hospital departments, physician offices, patients, and the patient care team, and records authorization information accurately in electronic medical records.

Requirements

  • High school diploma or GED.
  • Knowledge of customer service principles and practices.
  • Experience using computer systems and applications, including data entry and typing.
  • Six months of experience working in a medical office environment to gain an understanding of medical terminology.

Nice To Haves

  • Good knowledge of medical insurance and medical procedure authorizations.

Responsibilities

  • Obtain authorizations from patients’ health insurance companies before treatment for surgeries, procedures, injections, referrals, durable medical equipment, imaging, and other services.
  • Interact with health insurance companies, hospital departments, and physician offices to obtain authorizations for the next step in a patient’s treatment plan in a patient-focused manner.
  • Accurately enter information about each authorization obtained into patients’ electronic medical records.
  • Collaborate with other members of the patient care team to meet quality patient care expectations.
  • Communicate with patients to confirm insurance information when authorization cannot be obtained.

Benefits

  • Medical, dental, and vision insurance.
  • Discounted orthopedic care at ROC.
  • Paid time off and holiday pay.
  • Extended sick leave.
  • 401(k) plan contributions with no match required.
  • Employee assistance program (EAP).
  • Disability and life insurance.
  • Health and fitness program.
  • On-site coffee shop at the main location.
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