Job Description

Join to apply for the Medical Authorization Specialist role at Bioventus

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Join to apply for the Medical Authorization Specialist role at Bioventus

Are you ready to work for a more active world?

At Bioventus, our business depends on developing our people. We invest in you and challenge you to be the best. We value our colleagues for their different perspectives and individual contributions, and our leaders listen. Our success rests on working together to achieve shared goals and rewards. Join a diverse team of global colleagues driven to help patients resume and enjoy active lives.

Main Purpose of the Role:

As a Medical Authorization Specialist (MAS) you will support the reimbursement strategy of the company by aggressively pursuing authorization and reimbursement while establishing a resource of expertise to the payers. You will need to demonstrate, through actions, a consistent performance standard of excellence to which all work is to conform.

Key Responsibilities:

• Reviews and interprets medical record documentation for patient history, diagnosis, and previous treatment plans.
• Utilizes payer-specific approved criteria to determine medical necessity or the clinical appropriateness for the companys products.
• Submits pertinent demographic and supporting clinical documentation with pre-authorization requests timely to avoid unnecessary delays in patient treatment.
• Maintains and documents complete, timely, and accurate patient insurance and billing information.
• Performs on-going check and balance system to ensure the integrity of the patient billing data.
• Operates compliantly at all times by keeping patient data secure and confidential and adhering to all company policies and procedures.
• Works with the Order Management team to secure any additional information and medical documentation from the patient and/or prescribing HCP.
• Complies with all health, safety and environmental policies, procedures and job hazard analyses applicable to specified job activities; including medical evaluations as required by job function.
• Completes all required training in a satisfactory and timely manner.
• Holds oneself and others accountable to conduct business in a manner compliant with Bioventus Code of Compliance, policies and procedures and internal controls applicable to their role.
• Other duties as assigned

Education and Experience (Knowledge, Skills & Abilities):

• High school diploma plus 4 years of related experience or 4-year college degree
• 1-year medical authorization experience with demonstrated ability to read medical records and identify discrepancies.
• Experience understanding insurance plans payer guidelines and benefits.
• Knowledge and interpretation of medical terminology and ICD-10 coding.
• Must possess good written and oral communication skills with the ability to interface with customers and company personnel at all levels. Strong persuasion/negotiation skills.
• Demonstrate a high level of attention to detail.
• Must display professional persistence, manage detailed information; maintain high level of organization; display strong proficiency in multi-tasking by effectively managing time and priorities.
• PC experience in Microsoft Word, Excel, Outlook or other related software required. Knowledge of SAP or other integrated software applications preferred.

Are you the top talent we are looking for?

Apply now! Hit the Apply button to send us your resume and cover letter.

Bioventus is committed to fostering an inclusive and diverse community of employees with a strong sense of belonging. We believe we are bettered by all forms of diversity and take pride in working with top talent from every walk of life. In the spirit of inclusivity, qualified applicants will be considered without regard to age, ethnicity, disability, gender, veteran status, gender expression, gender identity, nationality, race, religion or sexual orientation. All individuals, regardless of personal characteristics, are encouraged to apply.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Biotechnology Research, Medical Equipment Manufacturing, and Pharmaceutical Manufacturing

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Job Tags

Full time, Part time,

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