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Authorization Representative
Authorization RepresentativePacer Group • Los Angeles, CA, United States
Authorization Representative

Authorization Representative

Pacer Group • Los Angeles, CA, United States
[job_card.30_days_ago]
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  • [job_card.full_time]
[job_card.job_description]

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

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