Authorizations Representative

Sports Medicine North; Warwick (RI); On-site; USD 41,000 - 51,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision care

401(k)

Job summary

Spire Orthopedic Partners, an MSO coordinating a network of orthopedic practices, seeks an MRI Authorizations specialist in Warwick, RI. The role interfaces with staff to expedite MRI authorizations, collect accurate demographic and clinical data, and schedule procedures with physicians.

Responsibilities include obtaining MRI orders, requesting authorizations online/by phone, informing patients about benefits and co-pays, and updating authorization status across multiple systems.

Qualifications

• High School Graduate or equivalent.
• Any combination of education, training, and experience that demonstrates the ability to perform the duties of the position.
• Experience with Microsoft Office (Word, Excel, and PowerPoint).

Responsibilities

• Obtain MRI Orders/requests for target locations in the organization by monitoring EMR, phone, online, or emails.
• Conduct Online/Phone Authorization request for MRI.
• Conduct Online/Phone authorization investigation of MRI benefits.
• Communication of authorization/benefits/co-payments to patients prior to exams.
• Update authorization status through process and confirm receipt of MRI.
• Scheduling of MRI and follow-up visits with the physicians.
• Facilitation of Peer-to-Peer reviews for MRI, as needed.
• Provision of Medical records in pursuit of MRI’s.
• Documentation of Authorization processed through various systems: Centricity/Exscribe/Health I Pass
• Other duties as assigned.

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

Job Details:

Level: Entry, Job Location: MSO Ortho Rhode Island PSO - Warwick, RI 02886, Position Type: Full Time, Education Level: High School or Equivalent, Salary Range: $19.65 - $24.55 Hourly, Travel Percentage: None, Job Shift: Day, Job Category: Health Care, Who we are:

Who we are:

Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut The Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.

Ortho Rhode Island is a world‑class group of talented providers and professionals, all working together to offer value and quality in everything we do. Each Ortho Rhode Island team member is dedicated to thinking like a patient, and to offering the best experience in our industry, driven by our core values: delivering on our word, respecting each other, innovating in orthopedics, valuing every individual, and engaging our community.

What you’ll do:

The MRI Authorizations are responsible to work with the staff to expeditiously contact the various entities, provide accurate clinical and demographic information, obtain the authorizations in a timely manner, communicate the information to the patient and schedule appointments, as it relates to MRI’s.

Responsibilities/Duties:

• Obtain MRI Orders/requests for target locations in the organization by monitoring our EMR System, phone, online, or emails.
• Conduct Online/Phone Authorization request for MRI.
• Conduct Online/Phone authorization investigation of MRI benefits.
• Communication of authorization/benefits/co-payments to patients prior to exams.
• Update authorization status through process and confirm receipt of MRI.
• Scheduling of MRI and follow-up visits with the physicians.
• Facilitation of Peer-to-Peer reviews for MRI, as needed.
• Provision of Medical records in pursuit of MRI’s.
• Documentation of Authorization processed through various systems: Centricity/Exscribe/Health I Pass
• Other duties as assigned.

Qualifications:

• High School Graduate or equivalent
• Any combination of education, training, and experience that demonstrates the ability to perform the duties of the position.
• Experience with Microsoft Office (Word, Excel, and PowerPoint)

What we offer:

• Excellent growth and advancement opportunities
• Dynamic environment
• Access to a diverse network of practitioners
• Broad infrastructure of tools and programs to enhance the employee experience
• Competitive Compensation
• Generous PTO
• Benefits package: health, dental, vision, 401(k), etc.

We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”).