Accidental Death and Dismemberment (AD&D), Communication Skills, Computer Skills, Current Procedural Terminology (CPT), Customer Relations, Customer Support/Service, Detail Oriented, Disability Insurance, Electronic Medical Records, Health Insurance, Healthcare Providers, ICD-10, Insurance, Magnetic Resonance Imaging (MRI), Medical Terminology, Multitasking, On Site Support, Organizational Skills, Orthopedics, Patient Care, Schedule Development, Test Plan/Schedule, Time Management
Kansas City Orthopedic Alliance is the largest, independently owned orthopedic specialty practice in the Kansas City metro area. We have over 50 medical providers practicing out of eight locations. Each team focuses on the importance of customer service, communication, and caring for patients.
We are seeking a Test Scheduling Non-Surgical Authorization Specialist. This is a full-time position, Monday-Friday's, 40 hours per week.
Essential Responsibilities:
- Pre-certification of procedures: MRI, CT, Bone Scans, Visco supplementation, etc.
- Use of online Insurance or Product portals to obtain benefits and Pre-certifications (May be obtained via phone call as well)
- Initiate appeals or peer to peer discussions for denied authorizations
Additional Responsibilities:
- Open line of communication with PCT’s, FDR to confirm pre-certification is complete and ensure that information is sent to the appropriate scheduler to get the patient on the physician’s schedule
- Will assist/provide coverage/support for other team members as appropriate to ensure that the collective work of this team is performed in a timely, efficient, and customer-centric fashion.
Skills:
- Knowledge of procedure authorization and its direct impact on the practice's revenue cycle
- Understanding of payer medical policy guidelines and using those to manage authorizations effectively
- Medical Terminology, ICD-10 and CPT coding, medical insurance knowledge
- Excellent computer skills including EMR and Internet use
- Detail oriented with strong organizational skills
- Excellent customer service skills; Communicates clearly and effectively
- Ability to multitask and remain focused while managing a high volume, time sensitive workload
We provide a robust benefits package, including:
- 6 company paid holidays
- Rich PTO Accruals
- Medical (with an on-site service discount program)
- Dental
- Vision
- Wellness program with abilities to reduce premiums
- HSA/FSA option
- Company Paid Life/AD&D and Long-Term Disability Insurance
- 401(K) with a substantial company match
- Optional Voluntary Benefits plans
- Employee Assistance Program
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Kansas City Orthopaedic Alliance