Job Type

Full-time

Description

Position Overview:

The Authorization Specialist supports the Clinical, Imaging, and Physical Therapy departments. Daily tasks will include verification of a patient’s insurance information, obtaining authorizations for, but not limited to, procedures, surgeries, injections, imaging, office visits, and pre-collection for upcoming services to be rendered. This role will also actively interact with the medical staff and patients.

Essential Functions

Authorize scheduled procedures to include surgeries, injections, medications, physical and occupational therapy, imaging and other items needing authorization with insurance.
Verify eligibility and benefits for all patients and procedure codes, pre-collect payment for surgeries and other procedures as required by the department
Ensure compliance with benefits, authorizations, and/or funding requirements and limitations.
Confirm that all information documented in the Practice Management System is accurate.
Document work processes as required.




Educate staff members on authorization obligations and accountability to internal processes in a timely manner.
Manage authorization queue, workbook, or schedule by auditing daily changes and having clear documentation.
Setup Patient tracking via tasking within the patient Electronic Medical Records System.
Innovation of processes to facilitate the most efficient workflow.
Document in Electronic Health Records System prior authorizations information obtained.
Treatment authorized, date range approved for, authorization numbers and insurance company contact information.
Must be able to recognize and respond appropriately to urgent situations.
Follow all written protocols and procedures of the clinic including the OCC handbook, all department policy and procedures.
Provide timely, high quality patient service and submission of authorizations, from all areas of responsibility by being courteous and helpful to all.
Perform other duties assigned by OCC le

📌 Authorizations Specialist (Colombia)
🏢 OCC - Advanced Orthopedic & Sports Medicine Specialists
📍 Colombia