Surgery Authorization Specialist

OrthoArizona•Peoria, AZ

7h•Onsite

About The Position

At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and podiatry needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level providers including physical and occupational therapists. Today we are one of Arizona’s largest privately owned and most comprehensive orthopedic practices with more than 75 locally and nationally renowned providers across 30 locations, in addition to 2 ambulatory surgical centers and in house state of the art MRI capabilities. At OrthoArizona we are committed to best-in-class patient care, being a pioneer in research and technology, and most importantly, rewarding and recognizing our employees. As a Surgery Authorization Specialist with OrthoArizona, you will be responsible for verifying necessary information and recording it in the patient's medical record regarding surgery and related needs. You will obtain accurate benefit information, prior authorization, and calculate estimated surgical and surgical DME patient pre-payments for all practitioners. The role involves accurately building Surgical Case Management in EMR, communicating with patients about authorization and out-of-pocket costs, and collecting applicable pre-payments prior to surgery. You will also assist the Surgery Scheduler with coordinating equipment, surgical assists, and anesthesia, ensure timely communication of authorization to surgical facilities, and communicate necessary information to patients, staff, and physicians. Additional duties include answering telephones, screening calls, clearing voicemail, returning patient calls, answering questions about upcoming surgeries, updating patient information in EMR, and assisting in training new staff.

Requirements

Knowledge of medical terminology and anatomy.
Excellent written and verbal communication skills.
Understand/Perform training on practice management software.
Continue to expand knowledge of practice management software as updates occur.
Follow all Standard Operating Procedures.
High school diploma or GED.
Minimum 1-year experience of medical/surgical authorization and/or benefit eligibility.

Nice To Haves

2 years of experience surgery scheduling and authorization.

Responsibilities

Verify all necessary information and record information in patient's medical record regarding surgery and any surgical related patient needs.
Obtain accurate benefit information, prior authorization and accurately calculate estimated surgical and surgical DME patient pre-payments for all practitioners (Surgeon, Assistant Surgeon, etc.).
Accurately build Surgical Case Management in EMR.
Communicate with patients, in a timely manner, regarding authorization and estimated patient out of pocket cost.
Collect all applicable estimated patient out of pocket costs for surgery and DME prior to surgical event.
Assist Surgery Scheduler with coordination of necessary equipment, surgical assists, and anesthesia relative to surgeries as needed.
Ensure timely communication of authorization to all surgical facilities as appropriate.
Communicate necessary information to patients, staff, and physicians in a timely manner.
Answer telephone, screen calls, clear voicemail, return patient calls in a timely manner.
Available to answer physician, patient, and staff questions regarding patient's upcoming surgeries.
Update patient information in EMR.
Assist in training and orienting of new staff.
All other duties as assigned.