Medical Authorization Specialist
Location: santa monica, CA
Job Type: Contract
Company: IDR
Category: Administrative / Clerical
Job Description Apply Now
The Medical Authorization Specialist plays a vital role in supporting the operational efficiency of healthcare organizations by ensuring timely and accurate processing of medical authorizations, particularly for orthopedic procedures and surgeries. This full-time position is designed for detail-oriented professionals with a strong background in medical coding, insurance verification, and patient relations. As a Medical Authorization Specialist, you will have the opportunity to join a reputable healthcare organization recognized for its commitment to employee development, team-oriented culture, and industry leadership. If you are passionate about healthcare administration and eager to contribute your expertise to a collaborative environment, we encourage you to apply by clicking the job application button.
Medical Authorization Specialist - Summary- Serve as the primary point of contact for patients, both in person and over the phone, ensuring a positive and seamless experience throughout the authorization process.
- Utilize your expertise in CPT and ICD-10 coding to accurately process and submit authorizations for orthopedic procedures and surgeries.
- Verify and update patient demographics and insurance information using advanced healthcare technology platforms, including CS-Link and Epic.
- Collaborate with providers, patients, and insurance representatives to facilitate communication and ensure all necessary documentation is submitted and processed efficiently.
- Manage the end-to-end process of medical authorizations, with a focus on orthopedic procedures, ensuring all submissions are completed accurately and in a timely manner.
- Communicate regularly with patients to gather necessary information, answer questions, and provide updates regarding the status of their authorizations and appointments.
- Work closely with medical staff and insurance companies to verify benefits and coverage, resolve discrepancies, and obtain pre-certifications as required.
- Schedule patient appointments, process referrals, and maintain thorough documentation in compliance with departmental guidelines and regulations.
- Maintain an organized and clean work environment, adhering to all departmental policies and procedures to support a safe and efficient workplace.
- Handle Work Comp claims and coordinate with various insurance types, demonstrating a comprehensive understanding of the medical authorization landscape.
- Competitive compensation package designed to attract and retain top talent in the healthcare administration field.
- Comprehensive benefits including medical, dental, vision, and life insurance to support employee well-being.
- Opportunities for professional growth and long-term career advancement within an industry-leading organization.
- Access to Employee Stock Ownership Program, reflecting the organization’s commitment to employee investment and success.
- Recognition for excellence, including multi-year awards for outstanding staffing and talent support.
- Minimum of two years of experience working with CPT codes and medical authorizations, specifically for orthopedic procedures and surgeries.
- Solid familiarity with ICD-10 coding and previous experience in an outpatient clinic or medical office environment.
- Proven ability to follow detailed oral and written instructions with high accuracy and attention to detail.
- Experience using CS-Link and Epic healthcare information systems is highly preferred.
- Prior experience handling Work Comp claims is a plus.
- Strong communication, organizational, and customer service skills.
- Detail-oriented and highly organized professional who excels in a fast-paced medical office environment.
- Effective communicator comfortable with direct patient interaction and complex administrative processes.
- Team player who thrives in a collaborative, supportive culture and is motivated by opportunities for growth and learning.
- Adept at multitasking, prioritizing responsibilities, and problem-solving to ensure smooth operations and exceptional patient care.
- This full-time Medical Authorization Specialist position offers the chance to work in a vibrant and dynamic healthcare setting renowned for its supportive team culture and commitment to excellence.
- The organization’s long-standing industry reputation and award-winning service provide a strong foundation for professional development and stability.
- Employees enjoy a close-knit work environment and access to resources that foster both personal and career growth.
- One brief, positive note: The area is known for its dynamic healthcare community and opportunities for advancement in the field.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. IDR is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, we invite employees to voluntarily self-identify their race or ethnicity, gender, and veteran status (if applicable). Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. You may access this form here.
If you are ready to take the next step in your healthcare administration career, apply now for the Medical Authorization Specialist position by clicking the job application button and join a team that values your expertise and dedication.