Healthcare Outcomes Performance Co. (HOPCo)
1001 - 5000 employees
🤝 B2B
☁️ SaaS
💰 Private equity on 2019-02
B2B • SaaS
Healthcare Outcomes Performance Co. (HOPCo) is the largest orthopedic value-based care organization in the U. S. , specializing in comprehensive musculoskeletal (MSK) care delivery, management, and value creation. Led by orthopedic physicians and executives, HOPCo operates an accredited MSK clinically integrated network and offers practice partnership and health system solutions, payor-facing population health and value-based care programs, analytics and outcomes reporting, and digital patient engagement tools to align stakeholders, improve outcomes, and lower total MSK costs.
Procedure Authorization Specialist
🔥 1 hour ago
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Healthcare Outcomes Performance Co. (HOPCo)
1001 - 5000 employees
🤝 B2B
☁️ SaaS
💰 Private equity on 2019-02
B2B • SaaS
Healthcare Outcomes Performance Co. (HOPCo) is the largest orthopedic value-based care organization in the U. S. , specializing in comprehensive musculoskeletal (MSK) care delivery, management, and value creation. Led by orthopedic physicians and executives, HOPCo operates an accredited MSK clinically integrated network and offers practice partnership and health system solutions, payor-facing population health and value-based care programs, analytics and outcomes reporting, and digital patient engagement tools to align stakeholders, improve outcomes, and lower total MSK costs.
📋 Description
• Monitors the authorizations of upcoming surgical cases on the physician’s calendars • Ensures authorizations for surgeries are obtained in a timely and accurate manner • Verifies patient demographic information and insurance eligibility including coordination of benefits • Updates and confirms necessary information to allow processing of claims to insurance plans • 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 • Works with department manager to respond to and reduce complaints
🎯 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 preferred • Excellent organizational skills and strong customer service orientation required • Strong background in computers and data entry • Working knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers, and other funding sources • Knowledge of computer applications
🏖️ Benefits
• Health insurance • Flexible work arrangements • Professional development opportunities
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