Description Excel Orthopaedic Specialists in Woburn is hiring. We are a busy Orthopedic practice looking to hire a Referral/Authorization Specialists to add to our expanding team. The Referral / Authorization Specialist is responsible for processing referrals and prior authorizations to ensure that patient visits and procedures are covered by various payers. • Proactively reviews OT and PT therapy schedules to determine which patients need referral or prior authorizations • Verifies patient eligibility (insurance, worker’s comp, MVA) • Prepares, processes and tracks referrals and prior authorizations through various payer systems, documents all in eCW per protocol • Makes follow up calls to patients and payers (insurance company, workers comp, etc) • Responds to questions and requests from leadership, providers, payers and patients • Demonstrate professional communication and problem solving with providers and leadership, participate in process improvement and educate teams on updated guidelines and/or process. • Completes other tasks as directed by management. • Attends staff meetings and continuing education Requirements • High school diploma required, Bachelor’s degree in related field preferred • Minimum of two years’ experience in medical and/or rehab billing and/or referrals/ prior auths • Knowledge of medical terminology required • Demonstrated ability to handle high volume of calls and claims in a fast paced environment • Excellent verbal and written communication skills • Strong computer skills including EMR and MS Office