Logo
Pacer Group

Authorization Representative

Pacer Group, Santa Monica, California, United States, 90403

Save Job

Below mentioned is the job description for your reference:

Job Title:

Authorization Rep Location:

2020 Santa Monica Blvd, Santa Monica, CA (90404) Duration:

13 Weeks / 3 Months

Schedule:

Monday-Friday | 8:00 AM - 4:30 PM (5x8-Hour Shifts)

Job Overview:

We are seeking an experienced

Authorization Representative

to support our Orthopedic department. The ideal candidate will have a strong background in processing prior authorizations-particularly for orthopedic procedures and surgeries-and be familiar with CPT and ICD-10 codes. This role requires direct patient interaction, coordination with providers, and accurate documentation in our EMR system.

Required Qualifications: Minimum

2 years of experience

handling authorizations, specifically for orthopedic procedures/surgeries Proficient in

CPT and ICD-10 coding Experience submitting authorizations to various insurance carriers Minimum

1 year of recent experience

in an outpatient clinic or medical office Strong ability to follow detailed written and verbal instructions Preferred Qualifications:

Experience using

CS-Link/Epic Knowledge of

Workers' Compensation claims Key Responsibilities:

Submit and track insurance authorizations and referrals for orthopedic procedures Verify and update patient demographics and insurance information in

Epic/CS-Link Schedule appointments and complete registration tasks Greet and check in/out patients, collect and reconcile co-payments, issue receipts Respond to patient inquiries in person and via phone professionally and promptly Handle patient/provider correspondence and escalate concerns when appropriate Provide clear communication regarding clinic policies, procedures, and services Maintain a clean and sanitized work area following departmental protocols