Patient Access Specialist Job at Pacer Group, Santa Monica, CA

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  • Pacer Group
  • Santa Monica, CA

Job Description

Title: Authorization Representative

Location: Santa Monica, CA

Specialty: Non-Clinical – Administrative

Shift: Day (5 x 8 Hours) 08:00 – 16:30

Positions: 1

Position Overview

  • The Authorization Representative will be responsible for processing and tracking authorizations primarily for Orthopedic procedures/surgeries. This role requires strong familiarity with CPT and ICD-10 codes and direct experience in an outpatient or medical office setting.

Required Qualifications:

  • Minimum 2 years of experience with authorizations (must be clearly shown on resume)
  • Experience with CPT codes, ICD-10 codes, and orthopedic surgery/procedure authorizations
  • Minimum 1-year recent experience in an outpatient clinic or medical office setting
  • Ability to read, understand, and respond to detailed oral and written instructions

Preferred Qualifications

  • Experience with CS-Link/Epic
  • Familiarity with Workers’ Compensation (Work Comp) claims

Key Duties & Responsibilities

  • Serve as the primary point of contact for patient relations (in-person and by phone)
  • Greeting patients, address concerns, and escalate issues as appropriate
  • Perform patient check-in/check-out, collect co-payments, issue receipts, and reconcile payments
  • Verify patient demographics and insurance information in CS-Link/Epic
  • Schedule appointments and manage complete patient registration
  • Submit, process, and track referrals and authorizations for various insurance types
  • Handle patient and provider correspondence in a professional manner
  • Explain policies, procedures, or services to patients.
  • Maintain and sanitize workspaces in accordance with departmental guidelines.

Job Tags

Work at office, Shift work,

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