OrthoArizona
Authorization and Eligibility Representative
OrthoArizona, Chandler, Arizona, United States, 85249
Authorization and Eligibility Representative
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Authorization and Eligibility Representative
role at
OrthoArizona .
1 month ago Be among the first 25 applicants.
About OrthoArizona At OrthoArizona, we bring the best together. Our organization serves all orthopedic and podiatry needs throughout the Valley. We have a wide range of orthopedic surgeons and mid-level providers, including physical and occupational therapists. Today we are one of Arizona’s largest privately owned, most comprehensive orthopedic practices with more than 75 locally and nationally renowned providers across 30 locations, plus 2 ambulatory surgical centers and in‑house MRI capabilities. We are committed to best-in‑class patient care, research and technology, and rewarding and recognizing our employees.
Responsibilities
Verify insurance coverage for potential new patients, add‑ons, and re‑verify coverage for existing patients.
Navigate insurance portals or use phone to obtain necessary benefits.
Reconcile obtained information within the Practice Management System, EMR, and Phreesia for claim processing.
Obtain all referrals and authorizations for Physical Therapy patients, as required.
Act as liaison between patients, healthcare providers, and insurance carriers to ensure proper measures are taken and information is collected.
Enter authorization numbers and expiration dates into the Practice Management System, EMR, and Phreesia.
Update insurance notes in EMR systems for corresponding departments.
Maintain medical records according to practice policies and procedures.
Using state or federally regulated websites may require personal login credentials.
Minimum Qualifications
Excellent customer/patient service.
Knowledge of medical terminology.
Working knowledge of computer programs.
Excellent written and verbal communication skills.
Understanding/Performing training on practice management software.
Ability to promote favorable facility image with physicians, patients, insurance companies, and public.
Effective telephone communication skills.
Decision making and problem-solving ability.
Knowledge of health insurance plans, reading plan requirements.
Follow all Standard Operating Procedures.
High School diploma or GED.
Minimum of 2 years experience in healthcare administration or related field.
Strong organizational and communication skills.
Ability to work independently and as part of a team.
Meet metric deadlines and stay within goals with little oversight.
Knowledge of medical terminology and insurance authorization processes.
Preferred Qualifications \ Centricity Software and Phreesia experience.
Full Time Benefits
Robust paid time off package including sick time, holidays, and PTO.
Medical with multiple plan options.
Health Account + company contributions.
Dental & Vision insurance.
401(k).
Pet insurance.
ID Theft protection & Legal assistance.
Seniority Level Entry level
Employment Type Full-time
Job Function Other
Industries Medical Practices
#J-18808-Ljbffr
Authorization and Eligibility Representative
role at
OrthoArizona .
1 month ago Be among the first 25 applicants.
About OrthoArizona At OrthoArizona, we bring the best together. Our organization serves all orthopedic and podiatry needs throughout the Valley. We have a wide range of orthopedic surgeons and mid-level providers, including physical and occupational therapists. Today we are one of Arizona’s largest privately owned, most comprehensive orthopedic practices with more than 75 locally and nationally renowned providers across 30 locations, plus 2 ambulatory surgical centers and in‑house MRI capabilities. We are committed to best-in‑class patient care, research and technology, and rewarding and recognizing our employees.
Responsibilities
Verify insurance coverage for potential new patients, add‑ons, and re‑verify coverage for existing patients.
Navigate insurance portals or use phone to obtain necessary benefits.
Reconcile obtained information within the Practice Management System, EMR, and Phreesia for claim processing.
Obtain all referrals and authorizations for Physical Therapy patients, as required.
Act as liaison between patients, healthcare providers, and insurance carriers to ensure proper measures are taken and information is collected.
Enter authorization numbers and expiration dates into the Practice Management System, EMR, and Phreesia.
Update insurance notes in EMR systems for corresponding departments.
Maintain medical records according to practice policies and procedures.
Using state or federally regulated websites may require personal login credentials.
Minimum Qualifications
Excellent customer/patient service.
Knowledge of medical terminology.
Working knowledge of computer programs.
Excellent written and verbal communication skills.
Understanding/Performing training on practice management software.
Ability to promote favorable facility image with physicians, patients, insurance companies, and public.
Effective telephone communication skills.
Decision making and problem-solving ability.
Knowledge of health insurance plans, reading plan requirements.
Follow all Standard Operating Procedures.
High School diploma or GED.
Minimum of 2 years experience in healthcare administration or related field.
Strong organizational and communication skills.
Ability to work independently and as part of a team.
Meet metric deadlines and stay within goals with little oversight.
Knowledge of medical terminology and insurance authorization processes.
Preferred Qualifications \ Centricity Software and Phreesia experience.
Full Time Benefits
Robust paid time off package including sick time, holidays, and PTO.
Medical with multiple plan options.
Health Account + company contributions.
Dental & Vision insurance.
401(k).
Pet insurance.
ID Theft protection & Legal assistance.
Seniority Level Entry level
Employment Type Full-time
Job Function Other
Industries Medical Practices
#J-18808-Ljbffr