Authorization Specialist

We are seeking a detail-oriented and experienced Patient Service Representative to join our outpatient clinic team. This role will primarily focus on submitting authorizations for orthopedic procedures and surgeries, and requires a strong understanding of CPT codes and insurance processes.

Important Requirement:
Applicants must have at least 2 years of experience with authorizations including CPT and ICD-10 coding. This experience must be clearly listed on your resume.

Key Responsibilities:
Serve as the primary point of contact for patient relations in person and via phone
Greet patients, address concerns, and escalate issues appropriately
Manage patient check-in/check-out, collect co-payments, issue receipts, and reconcile payments
Verify patient demographics and insurance information using CS-Link/Epic
Schedule appointments and complete patient registration
Submit and track referrals and authorizations for various insurance types, with a focus on orthopedic procedures/surgeries
Handle patient and provider correspondence
Clearly explain policies, procedures, and services to patients
Maintain a clean and sanitized workspace per department guidelines


Required Qualifications:
Minimum 2 years of experience with CPT codes and authorizations
Familiarity with ICD-10 and CPT codes
1 year of recent experience in an outpatient clinic or medical office setting
Ability to read, understand, and respond to detailed oral and written instructions

Preferred Qualifications:
Experience with CS-Link/Epic
Experience handling Workers’ Compensation claims
Knowledge of medical terminology

If you're a proactive, compassionate professional with a strong background in medical authorizations and a passion for patient care, we’d love to hear from you!

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.