Authorization Representative

Job Summary

To support a growing orthopedic practice, the full-time RCM Authorizations Representative will review authorization requirements for various services, maintain communication with providers and outsourced authorization companies, and document all updates in the electronic health record system while working remotely.

Key responsibilities

• Review EHR task lists to determine authorization requirements for services such as surgeries and imaging
• Act as the main contact for provider correspondence and patient issues, ensuring timely updates and communication
• Maintain the authorization team task list and support the operational teams in scheduling and patient care

Required qualifications

• Minimum of one year of prior authorization experience required
• High school diploma or equivalent
• Familiarity with Local Coverage Insurance Plans
• Computer literacy, including practice management software and EMR
• Knowledge of orthopedic procedures is preferred but not essential