Injections Authorizations Job at Ortho Rhode Island

Ortho Rhode Island Warwick, RI 02886

The Injections Authorizations are responsible to work with the staff to expeditiously contact the various entities, provide accurate clinical and demographic information, obtain the authorizations in a timely manner, communicate the information to the patient and schedule appointments, as it relates to specialty injections.
Essential Functions:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Obtain Specialty Injection Orders/requests for target locations in the organization by monitoring our EMR System, phone, online, or emails
  • Conduct Online/Phone Authorization request for specialty injections.
  • Conduct Online/Phone authorization investigation of specialty injection benefits
  • Communication of authorization/benefits/co-payments to patients prior to exams.
  • Update authorization status through process and confirm receipt of specialty injection.
  • Scheduling of specialty injections and follow up visits with the physicians.
  • Facilitation of Peer-to-Peer reviews for specialty injections, as needed.
  • Provision of Medical records in pursuit of specialty injections
  • Documentation of Authorization processed through various systems: Centricity/Exscribe/Health I Pass
  • Other duties as assigned

Competencies

  • Excellent computer skills
  • EMR Systems
  • Practice Management System
  • Microsoft Suite (including Outlook, Word, Excel, Calendar)
  • Phone Software
  • Basic knowledge of insurance plans and referral requirements
  • Knowledge of estimated co-payment and co-insurance
  • General understanding of processing legal forms
  • Effectively communicate tasks or projects with team members

Work Environment
This job operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to talk and hear. This role requires frequent walking, standing, and sitting and also bending, stretching and periodic lifting of up to 20 pounds.
Position Type/Expected Hours of Work
This is a full-time, Monday through Friday position. Shifts will be assigned in advance and can vary between the hours of 8:00 a.m. to 5:00pm.

Job Type: Full-time




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