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 systemFamiliarity with Workers' Compensation claims processingKey Responsibilities
Serve as the primary point of contact for patients both in person and by phone, addressing inquiries and resolving concerns professionallyCheck in and check out patients, collect co-payments, issue receipts, and reconcile daily paymentsVerify and update patient demographics and insurance information in CS-Link / EpicSchedule appointments and manage complete patient registration processesSubmit, process, and track referrals and authorizations for various insurance plansCoordinate patient and provider correspondence, ensuring timely communicationExplain policies, procedures, and services to patients with clarity and empathyMaintain a clean, organized, and sanitized workspace in accordance with department protocols