Authorization Specialist/Workers Compensation Authorizations
: Job Details :

Orlin & Cohen is one of the largest orthopedics practices in the region, with 20 offices in Nassau and Suffolk Counties, Queens, and Staten Island. We have been in business for more than 25 years and have over 1200 dedicated healthcare employees in our care. Team members enjoy competitive salaries, exceptional medical benefits, and generous PTO.We are looking for exceptional candidates to join our Orlin & Cohen team as a Workers Compensation Authorizations Representative and MRI Injection Authorization Representative.Ideally candidates have knowledge of workers compensation rules and regulations as well as healthcare and insurance experience._*\*Full-Time Opportunity! Monday - Friday (8:30am-5pm, 9am-5:30pm, or 10am-6:30pm)*__*\*Previous WC Authorizations experience is preferred - for Workers Comp Role*__*\*Previous insurance and authorization experience REQUIRED - MRI Injection Authorization Role*__*Workers Compensation Responsibilities Include:*_* Reviewing past due accounts and related documentation.* Contacting patients, guarantors, and or third-party payers to secure payments and provide resolution of assigned accounts.* Reviewing and follow-up on workers comp denials and delays.* Appealing incorrect denials and incorrect payments.* Responding to carrier verification requests in a timely manner.* Tracking and reporting all account information.* Adheres to all HIPAA guidelines and regulations._*Candidate Attributes:*_* Problem Solving Skills: You have a strong ability to identify, analyze and solve problems.* Organizational skills: You have exceptional organizational, prioritization and time management skills that will aid in account follow-up._*Required experience and Qualifications:*_* High School Diploma or equivalent GED.* Minimum of one year medical billing/collections or insurance/workers comp experience required.* Knowledge of workers compensation rules and laws.* Excellent oral, written, computer and customer service skills._*MRI Injection Authorization Representative*_Obtain authorizations for MRI Injections._*Candidate responsibilities include:*_ Initiates request for MRI Injection Authorization from commercial carriers. Updates and records authorization related information in our system. Perform clinical reviews of authorization requests. Provides accurate and complete documentation to approve MRI Injections requests. Collaborate with applicable staff to coordinate patient care. Adheres to all HIPAA guidelines and regulation._*Candidate Attributes:*_* *Problem Solving Skills: *You have a strong ability to identify, analyze and solve problems.* *Organizational skills: *You have exceptional organizational, prioritization and time management skills that will aid in account follow-up._*Required experience and Qualifications:*_ High School Diploma or equivalent GED. Minimum of one year healthcare or insurance office experience required. Prior Authorization experience preferred Excellent oral, written, computer and customer service skills.\*The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, budget and internal equity).\*\*We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.\*_*Thank you for your interest in working with Orlin & Cohen!*__*#AJ1*_Job Type: Full-timePay: $20.00 - $23.00 per hourExpected hours: 40 per weekBenefits:* 401(k)* 401(k) matching* Dental insurance* Flexible spending account* Health insurance* Life insurance* Paid time off* Tuition reimbursement* Vision insuranceWeekly day range:* Monday to FridayApplication Question(s):* Please describe your previous Medical Authorization/Workers Compensation Authorization experience.Experience:* Workers' compensation: 1 year (Required)* Insurance verification: 1 year (Preferred)* Authorization: 2 years (Preferred)* Medical authorization: 1 year (Preferred)Ability to Relocate:* Garden City, NY 11530: Relocate before starting work (Required)Work Location: In person