Pacer Group
Title: Authorization Representative
Location: Santa Monica, CA
Specialty: Non-Clinical - Administrative
Shift: Day (5 x 8 Hours) 08:00 - 16:30
Positions: 1
Position Overview
The Authorization Representative will be responsible for processing and tracking authorizations primarily for Orthopedic procedures/surgeries. This role requires strong familiarity with CPT and ICD-10 codes and direct experience in an outpatient or medical office setting.
Required Qualifications:
Minimum 2 years of experience with authorizations (must be clearly shown on resume)
Experience with CPT codes, ICD-10 codes, and orthopedic surgery/procedure authorizations
Minimum 1-year recent experience in an outpatient clinic or medical office setting
Ability to read, understand, and respond to detailed oral and written instructions
Preferred Qualifications
Experience with CS-Link/Epic
Familiarity with Workers' Compensation (Work Comp) claims
Key Duties & Responsibilities
Serve as the primary point of contact for patient relations (in-person and by phone)
Greeting patients, address concerns, and escalate issues as appropriate
Perform patient check-in/check-out, collect co-payments, issue receipts, and reconcile payments
Verify patient demographics and insurance information in CS-Link/Epic
Schedule appointments and manage complete patient registration
Submit, process, and track referrals and authorizations for various insurance types
Handle patient and provider correspondence in a professional manner
Explain policies, procedures, or services to patients.
Maintain and sanitize workspaces in accordance with departmental guidelines.