Authorization Specialist - Worker's Compensation

The Bone and Joint Center is looking for an Authorization Specialist with a focus in Worker's Compensation, to join our team! This position is an excellent opportunity learn more about Orthopaedics and all that our growing and successful practice has to offer in a long and rewarding career in Healthcare!

At The Bone & Joint Center, our staff is the driving force behind everything we do. Our diverse team is built on collaboration, accountability, and a shared commitment to delivering exceptional care. While always supporting one another, upholding high standards, and fostering a culture of teamwork and excellence, we work together to make a meaningful difference to those we serve. With seven locations throughout the Capital Region, our professionals share one goal—to improve the lives of our patients every day.

This position will be responsible for verifying and obtaining authorizations as required by insurance companies dependent upon the plan coverage for all patients. Additional responsibilities include:

• Preparing reports of daily activity as requested for management
• Performing financial reviews and calculations based upon information received from the insurance company or plan
• Assisting with logistical and/or clerical problem resolution related to the patient’s medical record, authorization and billing issues.

Requirements:

· Experience in obtaining Insurance authorizations.

· Understanding of clinic operations and patient registration

· Knowledge of different insurance policies

· Case management experience

· Strong organizational, communication and computer skills

· Comprehensive working knowledge of 3rd party insurance process

· Understanding of insurance payor reimbursement, authorization, collection practices, practice management systems follow-up helpful.

· Medical terminology

· Attention to detail and accuracy, Ability to prioritize tasks

· Researches and corrects invalid or incorrect patient demographic information such as invalid phone number or insurance policy number to ensure proper billing.

· Works and assists with the billing department in researching and resolving rejected authorized claims.

· Accurately documents patient accounts of all actions taken.

Our Mission

At The Bone & Joint Center, our success begins with the people who make up our team. From our skilled doctors to our dedicated support staff, every team member plays a vital role in delivering the highest level of orthopaedic care. We are always looking for compassionate, talented, and motivated individuals who share our commitment to making patients stronger and helping them return to the activities they love.

With a reputation for providing orthopaedic excellence and exceptional care, our team works together to provide comprehensive treatment in a welcoming, supportive environment. If you’re looking for a rewarding career where you can make a difference every day, you’ve come to the right place.

If you are a motivated professional committed to excellence and ready to thrive in a fast-paced, patient-focused environment, we encourage you to explore our open positions and apply.

Capital Region Orthopaedics (The Bone & Joint Center), provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type 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.

** Actual compensation will be based on qualifications and other factors determined by law. **

Job Type: Full-time

Pay: $19.00 - $22.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Paid time off
• Retirement plan
• Vision insurance

Experience:

• Medical Insurance Authorization: 1 year (Preferred)

Work Location: In person