Ortho Pre-Authorization & Scheduling Specialist

OrthoSC; Myrtle Beach (SC); On-site; USD 21,000 - 29,000; Full time

Job summary

OrthoSC in Myrtle Beach, SC is seeking a Pre-Authorization Representative to manage pre-certification and scheduling for procedures. The role requires coordinating with insurers, patients, and providers to obtain necessary approvals and communicate expected costs.

Responsibilities include handling insurance benefits, maintaining accurate records, and ensuring compliance with company policies. A high school diploma and healthcare exposure are preferred.

Qualifications

• High School Diploma or equivalent required.
• Minimum of 2 years of physician office and/or healthcare experience.
• Strong communication and organizational skills.

Responsibilities

• Obtain insurance pre-certification and pre-authorization with necessary documents and authorization for payment for surgeries and non-surgical procedures, referrals, medical equipment, medications, and therapies
• Make phone calls to insurance companies, patients, and other facilities.
• Maintain accurate chart documentation.
• Interact directly with doctors in our office and other offices and hospitals.
• Prepare information for patient and communicate this information to the patient.
• Assist patients in understanding their insurance benefits and estimated amount due for scheduled procedures.
• Maintain compliance with all company policies and procedures.
• Other duties as assigned.

Skills

Orthopaedic/general medical terminol.

Computer proficiency

Professional demeanor

Respect and follow physician/patientEt

Work under pressure with a positiveAtt

Excellent verbal and written comm.

Education

High School Diploma or equivalent

Job description

OrthoSC in Myrtle Beach, SC is seeking a Pre-Authorization Representative to manage pre-certification and scheduling for procedures. The role requires coordinating with insurers, patients, and providers to obtain necessary approvals and communicate expected costs.

Responsibilities include handling insurance benefits, maintaining accurate records, and ensuring compliance with company policies. A high school diploma and healthcare exposure are preferred.