Authorization Specialist

Job not on LinkedIn

🔥 20 hours ago

🦀 Maryland – Remote

🦀 Maryland – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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The Centers for Advanced Orthopaedics

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2013

💼 Consulting

🏥 Healthcare

☁️ SaaS

Consulting • Healthcare • SaaS

The Centers for Advanced Orthopaedics is the leading orthopaedic practice in the Virginia–D. C. –Maryland region, comprised of over 400 providers united to deliver comprehensive musculoskeletal care. CAO offers a full range of orthopaedic specialties—sports medicine, joint replacement, spine, pediatrics, foot & ankle, hand & upper extremity, rheumatology, physiatry—and extensive rehabilitation and therapy services across many locations. They provide imaging and diagnostic services, urgent orthopaedic care, regenerative medicine, worker's comp support, and emphasize coordinated, patient-centered surgical and non-surgical treatment.

📋 Description

• Perform patient registration, scheduling, and insurance verification duties • Answer patient phone calls professionally and efficiently • Register and schedule patients for online and in-office appointments • Schedule, change, and update patient appointments • Interview patients for demographic information • Evaluate eligibility and collect co-pays and deductibles • Contact insurance carriers to verify eligibility, benefits, and requirements • Request, track, and obtain pre-authorization for medical and therapy services • Process insurance authorizations and update patient records • Research referrals for approval or denial and identify diagnoses using CPT and ICD-10 coding • Operate online insurance verification websites • Communicate insurance changes or trends to the team • Respond to patient inquiries and scheduling requests • Participate in departmental Performance Improvement activities • Document communications and contacts with providers and personnel according to standardized requirements • Educate patients and coworkers about the preauthorization process and coverage information • Use scheduling, EMR, and other computer software to understand and communicate patient needs • Report required information and unusual occurrences according to policies and procedures • Participate in orientation programs • Ensure compliance with regulatory and CAO guidelines, policies, and procedures • Perform other assigned duties

🎯 Requirements

• High School Diploma or equivalent • 1–2 years of medical office experience preferred • Proficient knowledge in medical terminology • Above average spelling and typing skills • Proficient computer software, including online insurance websites and DASH • Database skills • Proficiency with Microsoft Office suite of products • Experience collaborating across multiple functions • Experience innovating in a fast-growing work environment and dealing with ambiguity • Strong interpersonal skills • Ability to organize, prioritize, and manage multiple tasks in a dynamic environment • Strong oral and written communication skills • Excellent self-discipline and patience • Ability to work independently • Excellent time management, organization, and administrative support skills • Must be able to read, write, speak, understand, and communicate in English • Must be able to sit for long periods and lift up to 25 pounds • Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting • Adequate hearing and visual acuity to perform job duties • Ability to communicate clearly with patients in person and by telephone

🏖️ Benefits

• Full-Time employment • Remote work designation