Logo
Pacer Group

Authorization Representative

Pacer Group, Los Angeles, California, United States, 90079

Save Job

Below mentioned is the job description for your reference:

Job Title:

Authorization Representative

Location:

Santa Monica, CA (90404)

Shift:

Day Shift | 5x8-Hour (8:00 AM - 4:30 PM)

Duration:

13 Weeks

Position Overview

We are seeking an experienced and detail-oriented Authorization Representative to join our team. The ideal candidate will have at least two years of experience managing authorizations for orthopedic procedures and surgeries, with a strong understanding of CPT and ICD-10 coding. This role is essential in ensuring efficient coordination of patient authorizations, maintaining accurate records, and supporting exceptional patient care.

Required Qualifications Minimum of 2 years of experience processing authorizations for orthopedic surgeries/procedures Proficient in CPT and ICD-10 coding and submitting authorizations across various insurance types At least 1 year of recent experience in an outpatient clinic or medical office setting Strong ability to read, interpret, and follow detailed oral and written instructions Excellent communication, organization, and customer service skills Preferred Qualifications

Experience using CS-Link/Epic electronic medical record system Familiarity with Workers' Compensation claims processing Key Responsibilities

Serve as the primary point of contact for patients both in person and by phone, addressing inquiries and resolving concerns professionally Check in and check out patients, collect co-payments, issue receipts, and reconcile daily payments Verify and update patient demographics and insurance information in CS-Link/Epic Schedule appointments and manage complete patient registration processes Submit, process, and track referrals and authorizations for various insurance plans Coordinate patient and provider correspondence, ensuring timely communication Explain policies, procedures, and services to patients with clarity and empathy Maintain a clean, organized, and sanitized workspace in accordance with department protocols