Medical Authorization/MRI Precertification Specialist

Orthopedic Assoc of Hartford P; Hartford (CT); On-site; USD 45,000 - 65,000; Full time

Job summary

Orthopedic Associates of Hartford, P.C. is seeking an experienced Medical Authorization/MRI Precertification Specialist with Epic experience to join our team in Hartford, CT.

The successful candidate will have at least two years' experience in medical authorization/precertification for surgical cases, MRIs, or injections and must work independently with strong attention to detail and reliability. Responsibilities include communicating with insurance companies for prior authorizations, using

Qualifications

• Two years medical authorization/precertification experience in orthopedics or related area.
• Previous experience with Epic EMR systems.
• Ability to manage multiple priorities independently.
• Strong attention to detail and reliable attendance.
• Excellent written and verbal communication skills.

Responsibilities

• Communicate with insurance companies to obtain prior authorizations.
• Enter and obtain authorizations through online portals.
• Gather demographic and insurance details.
• Coordinate with physicians on peer-to-peer reviews.
• Respond promptly and helpfully to patients and staff.
• Verify patient information and relay changes.
• Perform other duties as assigned.

Skills

Attention to detail

Communication

Multitasking

Teamwork

Independence

Education

High School Diploma or GED

Tools

Epic EMR

Job description

Description

Description

Established in 1970, Orthopedic Associates of Hartford, P.C. is one of the area's largest and most respected orthopedic specialty groups.

In support of high-quality patient care, we are currently seeking an experienced Medical Authorization/MRI Precertification Specialist with Epic experience to join our team. The successful candidate will have at least two years' experience in medical authorization/precertification for either surgical cases, MRIs, or injections and must possess the ability to work independently, be a quick learner, possess strong attention to detail, have a strong work ethic with impeccable attendance and reliability, and the desire to be part of a great team.

Functions of the job include, but may not be limited to:

• Communicate with insurance companies to provide information necessary to obtain prior authorizations.
• Access online insurance portals to enter and obtain prior authorizations.
• Gather appropriate demographic and insurance related details.
• Communicate with physicians regarding peer-to-peer reviews for insurance companies.
• Communicate with patients and staff in a prompt, pleasant and helpful manner.
• Answer questions regarding patient's care with outside organizations.
• Verify patient demographic and eligibility information and relay changes to appropriate staff.
• Other duties as assigned.

PM22

Requirements

Requirements of this position include, but may not be limited to:

• High School Diploma or GED
• Two years medical prior orthopedic authorization experience preferred.
• Previous experience with Epic EMR systems.
• A proven track record of being able to handle multiple priorities in a pro-active manner.
• Ability to stay current in an automated work que with assigned cases.
• Clear and concise documentation skills.
• Superior written, oral communication, and customer service skills.
• Excellent organizational skills, detail oriented and able to prioritize and multi-task.
• Able to follow written and verbal directions.
• Ability to work collaboratively and efficiently within a team.