Orthopedic Clinic Authorization Specialist | Michigan Joint Replacement Institute

QUALIFICATIONS

High school graduate or equivalent
Medical Terminology, some college preferred
Previous registration, hospital billing or insurance experience required
Previous EPIC experience preferred
BLS required within 90 days of hire and maintained throughout employment

SUMMARY

Verifies and obtains patient insurance and benefit details, pre-certification as appropriate for the following: outpatient/inpatient surgeries and procedures, CAT scans, MRIs, physical therapy, in-office injection procedures and any other outpatient services as required by healthcare and insurance guidelines. Handles patient billing or insurance questions. Registers all patients all patient types using the hospital's EHR system to obtain correct demographic, financial, social, clerical and clinical information. Does scanning into patient’s medical record. Answers telephone calls and appropriately takes messages within the medical record, schedules appointments, and/or directs call to appropriate individual.

RESPONSIBILITIES

Performs timely pre-certifications, pre-authorizations, outpatient surgical procedures and appropriate outpatient studies, i.e. CT’s, MRI’s, Nuclear Medicine studies, physical therapy, and in-office injection procedures. Interacts with the appropriate departments when necessary.

Obtains and maintains appropriate access to payor and third-party websites to obtain authorizations/pre-certifications electronically as well as verify insurance eligibility for patients.

Assists with answering telephones, registering patients, sorting and delivering mail, or any other department duty as needed. Performs any other duties as assigned by the Manager.

Greets all patients, families, and clinic visitors with a positive, cheerful attitude.

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description School Eaton

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EDUCATION

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Eaton Rapids Medical Center is an Equal Opportunity Employer

I understand as a condition of employment, all ERMC employees are required to adhere to the Eaton Rapids Medical Center Behavior Standards including Customer Service, Communication, Privacy, Appearance, Safety Awareness, Workplace Violence, Integrity, Attitude + Respect and Teamwork. I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete. I understand that any false or misleading representations or omissions made on the application or during the hiring process may disqualify me from further consideration for employment and may results in discharge regardless of the date discovered. I authorize, without reservation, any party or agency to furnish information regarding my previous employment history, educational qualification and background information, including criminal background investigations. I release all such persons or organizations from liability regarding the information they provide. By Electronically signing this application, you acknowledge that you have read, understand and agree to the terms and conditions of this form.

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