Procedure Authorization Specialist

🔥 2 hours ago

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Logo of Healthcare Outcomes Performance Co. (HOPCo)

Healthcare Outcomes Performance Co. (HOPCo)

1001 - 5000 employees

🏥 Healthcare

☁️ SaaS

🤝 B2B

💰 Private equity on 2019-02

Healthcare • SaaS • B2B

Healthcare Outcomes Performance Company (HOPCo) is the largest orthopedic musculoskeletal (MSK) value-based care organization in the U. S. It is physician-led and provides comprehensive MSK care delivery and management services: advanced practice management, health system MSK service-line optimization and market transformation, payor solutions, and practice partnerships. HOPCo operates a URAC-accredited MSK clinically integrated network, runs population health and value-based care programs, and offers digital patient engagement, outcomes reporting, and analytics platforms to align stakeholders, improve outcomes, and reduce total cost of MSK care.

📋 Description

• Monitors the authorizations of upcoming surgical cases. • Verifies patient demographic information and insurance eligibility. • Accurately completes surgical cost analysis form. • Verifies benefits on all surgical procedures. • Documents authorizations and progress of authorizations in the patient’s chart. • Communicates effectively with physicians, patients, and co-workers. • Participates in providing ongoing training and education of staff.

🎯 Requirements

• High school diploma/GED or equivalent working knowledge preferred. • A minimum of 2 years of experience in the healthcare field is required. • Previous experience in referrals/authorizations, front office, and/or charge posting is preferred. • Excellent organizational skills and strong customer service orientation are required. • Strong background in computers and data entry.

🏖️ Benefits

• Health insurance • Paid time off

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