Prior Authorization Representative
Job description
Welcome to Cornerstone Orthopedics and Sports Medicine, a division of Orthopedic Centers of Colorado! Come work at our ever growing practice with some of the best Orthopedic physicians in Colorado. We provide outstanding benefits and are closed on all major holidays and weekends!
Job Type:
Full time Monday through Friday, 8:00am - 5:00pm with an hour lunch.
Duties:
Verify insurance benefits and obtain pre-authorization, pre-determination, and referrals (as needed for a large orthopedic group) Procedures (hospital same day surgery & ambulatory surgical center).
- For Appointment scheduled in an ambulatory surgery center, ensure that the authorizations obtained cover the facility and the physicians.
- Monitor the pre-authorizations task list, along with other specified service provider calendars.
- Continually review schedules for new visits added within the week up to date of service.
- Continually monitor the participating provider grids to ensure that authorizations requirements are met based on network participation status.
- Work closely with the provider's MA's to ensure authorizations have been obtained.
- Ability to work well under pressure.
- Knowledge of Insurance Health Plans and the effective of not obtaining and Authorization.
Work Remotely
- No
Job Type: Full-time
Pay: Up to $20.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work Location: One location
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