Orthopaedic Injection Authorization Specialist — Growth Team

Tri-State Orthopaedics; Pittsburgh (Allegheny County); On-site; USD 42,000 - 52,000; Full time

Job summary

Tri-State Orthopaedics & Sports Medicine in the Pittsburgh area is seeking a full-time Orthopaedic Injection Authorization Specialist to join our busy Billing Department at the North Hills Office (McCandless).

Responsibilities include verifying insurance benefits for prescriptions, obtaining prior authorizations, submitting prescriptions to specialty pharmacies, coordinating medication delivery, and scheduling injections, with strong emphasis on patient service.

Qualifications

• Experience with insurance benefits and prior authorization preferred.
• Excellent customer service and communication via telephone.
• Strong computer and typing skills; organized and able to multitask.
• Maintain patient confidentiality and adhere to payer guidelines.
• New graduates welcome.

Responsibilities

• Verify insurance benefit information for prescriptions.
• Obtain prior authorization for each injection.
• Submit prescriptions to specialty pharmacies for processing.
• Coordinate the delivery of medications to physician offices.
• Schedule patients for administration of the injection.
• Provide customer service support via phone for patients and insurers.

Skills

Customer service

Communication skills

Multitasking

Typing skills

Confidentiality

Tools

EHR systems

Prior authorization software

Microsoft Office

Job description

Tri-State Orthopaedics & Sports Medicine in the Pittsburgh area is seeking a full-time Orthopaedic Injection Authorization Specialist to join our busy Billing Department at the North Hills Office (McCandless).

Responsibilities include verifying insurance benefits for prescriptions, obtaining prior authorizations, submitting prescriptions to specialty pharmacies, coordinating medication delivery, and scheduling injections, with strong emphasis on patient service.