What are the responsibilities and job description for the Pain Management Authorization and Scheduling Specialist - Remote position at Direct Orthopedic Care?
As the Pain Management Authorization and Scheduling Specialist, I report to the Director of Surgical Services. I create a connection with DOC guests and ensure that our value of tenacious caring occurs. I do this by understanding the value of communication, a helpful hand and the importance of relating to one’s needs.
Lead Outcomes
- I maintain guest confidentiality and ensure PHI is secure at all times. I obtain a comprehensive knowledge and working understanding of HIPAA regulations and continual compliance.
- I lead the authorization process, verify medical policies, benefits verification and guest estimates.
- I lead DOC customer service protocols to ensure the guest receives the required authorization for any services performed within and by DOC.
- I am trained in the Surgery Scheduling and will lead DOC Customer Service Skills when scheduling guests.
Core Responsibilities
- I facilitate the authorization process for surgery, pain procedures and bracing.
- I communicate with providers and other team members of the guests’ authorization, having awareness of delays, and providing continual communication with all.
- I maintain compliance with payer-specific reimbursement guidelines.
- I am responsible for tracking, obtaining, and extending authorizations from various carriers in a timely manner.
- I follow up and have confirmation of all authorizations obtained; I work to help find solutions when denials are received.
- I verify benefit information for guests and obtain precertification/authorizations when necessary, as well as other tasks assigned..
- I assist our guests as needed.
I exemplify the following competencies
- My leadership is proactive.
- My work shows great attention to detail.
- My behaviors and standards model DOC’s values and deliver a service experience that is unrivaled.
- I use active listening skills.
- My behavior is enthusiastic.
- I enjoy working as part of a team.
- I am flexible and adaptable.
- I am able to lift up to 50lbs.
- I am proficient in computer skills.
