Medical Authorizations Representative
About The Position
Reno Orthopedic Center (ROC) is seeking a Medical Authorizations Representative to confirm health insurance benefits and obtain necessary approvals for orthopedic care. The role supports clinical efficiency and a positive patient experience at the Main location, 555 N. Arlington. ROC is a physician-owned organization with an integrated musculoskeletal health campus offering on-site surgery, advanced imaging, therapy, urgent care, and specialty services. The organization has served Northern Nevada for over 60 years and emphasizes patient-first care, respect, kindness, advocacy, continuous learning, and professional growth. The representative obtains prior authorizations for surgeries, procedures, injections, referrals, durable medical equipment, imaging, and other treatment-plan needs. The role involves communicating with insurers, hospital departments, physician offices, and patients; accurately recording authorization information in electronic medical records; and collaborating with the patient care team.
Requirements
- High school diploma or GED.
- Knowledge of customer service principles and practices.
- Experience using computer systems and applications, including data entry and typing.
- At least 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, including for surgeries, procedures, injections, referrals, durable medical equipment, and imaging.
- Work 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 into the patient’s electronic medical record.
- Collaborate with other members of the patient care team to meet quality patient care expectations.
- Contact patients to confirm insurance information when an authorization cannot be obtained.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Discounted orthopedic care at ROC
- Paid time off
- Holiday pay
- Extended sick leave
- 401(k) plan contributions with no match required
- Employee assistance program (EAP)
- Disability insurance
- Life insurance
- Health and fitness program
- On-site coffee shop at the main location
- Supportive, team-oriented environment with an emphasis on work-life balance, manageable workloads, respected schedules, and personal well-being
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
