Authorizations Representative

Description

Who we are:  

Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut, Spire Orthopedic Partners is a growing partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices in today’s evolving healthcare landscape. The Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts. 

Ortho Rhode Island is a world-class group of talented providers and professionals, all working together to offer value and quality in everything we do. Each Ortho Rhode Island team member is dedicated to thinking like a patient, and to offering the best experience in our industry, driven by our core values: delivering on our word, respecting each other, innovating in orthopedics, valuing every individual, and engaging our community.  

What you’ll do:  

The Rehab Authorization Specialist is responsible for working with staff to expeditiously contact the various entities, provide accurate clinical and demographic information, obtain the authorizations in a timely manner and communicate the information to the patient. 

Responsibilities/Duties:   

• Processes data to implement any changes in information 

• Obtains rehab orders/requests for target locations in the organization by monitoring our EMR system, phone, online, or emails 

• Conducts online/phone authorization requests for patients’ schedules 

• Conducts online/phone authorization investigation of eligible benefits 

• Communication of authorization/benefits to patients prior to exams 

• Scheduling of initial and follow-up visits with the respective therapist 

• Facilitation of peer-to-peer interviews for authorizations 

• Provision of medical records in pursuit of authorizations 

• Documentation of authorization process in various systems: Centricity, Exscribe, and Health I-Pass

Qualifications

Who you are: 

Qualifications:  

• High School Diploma or equivalent required 

• Any combination of education, training, and experience that demonstrates the ability to perform the duties of the position. 

• Experience with Electronic Medical Records 

What we offer:  

• Excellent growth and advancement opportunities  

• Dynamic environment  

• Access to a diverse network of practitioners  

• Broad infrastructure of tools and programs to enhance the employee experience     

• Competitive Compensation  

• Generous PTO   

• Benefits package: health, dental, vision, 401(k), etc.  

We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”).