Sterling Ridge Orthopaedics and Sports Medicine Hiring for Surgery Authorization Specialist at Spring, TX Full Time

We are looking for a full-time Insurance Verification Specialist with experience doing Surgery Authorizations to join our top notch team of professionals!

Position will be located at our Woodforest Office: 20639 Kuykendahl Rd Suite 200 Spring, TX 77379

Previous experience with Pain Management Surgery Authorizations

Job Summary:

• Responsible for all aspects of insurance verification and authorizations. Primary focus on Surgery Authorizations, VISCO injections. DME and MRI obtaining benefits, getting authorizations, and scheduling patients.

Essential Duties:

• Responds promptly to patient and staff needs.
• Verify insurance eligibility, benefits, and pre-authorization/pre-certification via telephone and internet.
• Initiate the process of obtaining prior authorization, if required, to maximize the opportunity for reimbursement.
• Update patient information as needed in Athena.
• Participates in facility committees, meetings, in-services, and activities.
• Compliant with HIPAA, OSHA, state and federal regulation, and company policies and procedures.
• Perform other miscellaneous office/clerical duties as needed.

Requirements:

Education and Qualifications:

• High School Diploma or GED certificate.
• Graduate of a certified medical office training course preferred
• Basic knowledge of ICD-10 coding
• 2 years’ experience insurance verification process required.
• Knowledge of EMRs, Athena preferred.