RCM Authorizations Representative

Spire Orthopedic Partners

. Review EHR task lists to determine authorization requirements for commercial surgery, physical therapy, MRI/CT scans, injections/VISCO, and DME/bone stimulators .

Posted 11/7/2026full-timeRemote • Connecticut • United StatesJunior💰 $22 - $33 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing authorization processes for medical procedures, including effective communication with providers and staff. Proficient in maintaining accurate patient data and ensuring timely updates to authorization requirements.

Highest-signal resume keywords

Prior Authorization ExperienceExcellent Telephone EtiquetteWritten And Oral Communication SkillsComputer LiteracyDetail-Oriented And Strong Organizational Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Soft Skills

Strong Organizational SkillsExcellent Communication Skills

Tools & Technologies

EMRPractice Management SoftwareMicrosoft WordMicrosoft Excel

Industry Keywords

Authorization RequirementsOrthopedic ProceduresLocal Coverage Insurance PlansPatient CarePeer To Peer Requests

About the role

Key responsibilities & impact

Review EHR task lists to determine authorization requirements for commercial surgery, physical therapy, MRI/CT scans, injections/VISCO, and DME/bone stimulators
Review orders and necessary dictations in the EHR
Keep authorization lists updated so requests are sent timely
Document correspondence and order updates as status becomes available
Notify providers, arrange Peer to Peer requests, and follow up on outcomes
Notify clinical and radiology staff of authorization requirement changes
Serve as direct contact for outsourced authorization companies and support contractual turnaround times
Communicate scheduling needs with the Director of Operations, Office Managers, and PCCs
Act as a resource and first-line response for procedural and workflow issues
Keep staff informed of procedure and workflow changes
Maintain the authorization team task list
Maintain a professional work atmosphere with patients, physicians, coworkers, and administration
Work directly with RCM and operational teams to support proper scheduling and patient care
Monitor team communication and decision-making
Create, update, and access confidential patient data in the EMR accurately and confidentially
Serve as the main contact for provider correspondence and patient issues
Prioritize and multitask

Requirements

What you’ll need

Minimum of one-year prior authorization experience required
Knowledge of orthopedic procedures helpful, but not essential
Excellent telephone etiquette
Good written and oral communication skills
Computer literacy preferred, including practice management software, EMR, Microsoft Word, and Excel
Detail-oriented and strong organizational skills preferred
High school diploma or equivalent
Familiar with Local Coverage Insurance Plans
No travel required

Benefits

Comp & perks

Excellent growth and advancement opportunities
Dynamic environment
Access to a diverse network of practitioners
Broad infrastructure of tools and programs to enhance employee experience
Competitive Compensation
Generous PTO
Health, dental, and vision benefits
401(k)