Surgical Authorization Specialist

At The CORE Institute, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:
  • Competitive Health & Welfare Benefits
  • Monthly $43 stipend to use toward ancillary benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan after 6 months of service with company match (Part-time employees included)
  • Employee Assistance Program that is available 24/7 to provide support
  • Employee Appreciation Days
  • Employee Wellness Events
Qualifications
  • A minimum of 2 years of experience in the healthcare field is required and previous experience in referrals/authorizations, front office, and/or charge posting is preferred. Excellent organizational skills and strong customer service orientation are required with a strong background in computers and data entry.
  • Working knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers, and other funding sources.
  • Federal, state, and HIPAA privacy regulations.
  • Knowledge of computer applications
Essential Functions
  • Monitors the authorizations of upcoming surgical cases, pain procedures, and imaging on the physician’s calendars, physician’s templates, and CISH Schedule ensuring authorizations are obtained in a timely and accurate manner.
  • Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing of claims to insurance plans.
  • Verifies benefits on all surgical procedures, pain procedures, and in-office procedures
  • Document authorizations and progress of authorizations in the patient’s chart. Enters the authorization information within case management.
  • Must be able to communicate effectively with physicians, patients, and co-workers, and facilities. Be capable of establishing good working relationships with both internal and external customers
The Surgical Authorization Specialist is responsible for obtaining authorizations, verifying eligibility and coordination of benefits, and obtaining a cost estimate for surgical procedures, in-office procedures, spine center procedures, and imaging.
The CORE Institute team is dedicated to making the lives of others better by practicing exceptional patient care. If you would like to be part of a dedicated, dynamic healthcare team in a challenging, rewarding environment, The CORE Institute is the right place for you to grow your career.
#CORE
Posted
09/11/2021
Type
Full time
Location
Phoenix, AZ 85003, US