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DME Authorization Representative

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Location: Hagerstown, MD
Company: The Centers for Advanced Orthopaedics Robinwood Division
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The Centers for Advanced Orthopaedics Robinwood Division is accepting applications for a busy orthopedic practice for a DME Authorization.

Responsibilities:
  • Prioritize incoming authorization requests according to urgency.
  • Obtain authorization via payer website for DME items or by phone and follow up regularly on pending cases.
  • Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations.
  • Respond to clinic questions regarding payer medical policy guidelines.
  • Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order.
  • Other clinical/clerical duties as assigned.
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