Eligibility and Benefits Specialist

About Ortho Arizona

At Ortho Arizona, we are bringing the best together. Our organization serves all orthopedic and podiatry needs throughout the Valley, offering a wide range of orthopedic surgeons and mid-level providers, including physical and occupational therapists. Today we are one of Arizona’s largest privately owned and most comprehensive orthopedic practices, with more than 75 locally and nationally renowned providers across 30 locations, in addition to two ambulatory surgical centers and in-house state‑of‑the‑art MRI capabilities.

We are committed to best‑in‑class patient care, pioneering research and technology, and rewarding and recognizing our employees.

As an Eligibility & Benefits Specialist with Ortho Arizona, you will get to:

• Verify insurance coverage for potential new patients and re‑verify coverage for existing patients.
• Navigate multiple insurance portals or phone systems to obtain necessary insurance benefits.
• Reconcile obtained information within EMR to ensure successful claim processing.
• Obtain all referrals and authorizations for office visits, as required.
• Act as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected.
• Enter authorization numbers and expiration dates into the EMR for proper claim processing.
• Update pertinent insurance notes in EMR systems for corresponding departments.
• Maintain medical records in accordance with practice policies and procedures.
• Use state or federally regulated websites, which may require personal login credentials.

• Excellent customer/patient service skills.
• Must be able to drive to location for in‑person training during the first 90 days and as needed thereafter.
• Knowledge of medical terminology.
• Working knowledge of computer programs.
• Excellent written and verbal communication skills.
• Ability to perform training on practice management software.
• Ability to promote a favorable facility image with physicians, patients, insurance companies, and the general public.
• Effective telephone communication skills.
• Decision‑making and problem‑solving abilities.
• Knowledge of health insurance plans, including reading plan requirements.
• Follow all Standard Operating Procedures.
• High School diploma or GED.
• Minimum of 2 years of experience in healthcare administration or related field.
• Strong organizational and communication skills.
• Ability to work independently and as part of a team.
• Knowledge of medical terminology and insurance authorization processes.

• Robust paid time off package including sick time, holidays, and paid time off.
• Medical coverage with multiple plan options.
• Health Savings Account with company contributions.
• Dental and vision insurance.
• 401(k) plan.
• Pet discount plan.
• protection and legal assistance.