Enovis
Medical Authorization Specialist
USA, Texas, Dallas · Full-time
No sponsorshipDetected 8 days ago
SalesOutbound SalesCustomer SupportICD-10Patient CareResearchCollaborationMicrosoft OfficeClaims Management
About the role
- Medical Authorization Specialist Representatives seek benefit coverage for patients from insurance groups with the responsibility of timely and compliant order entry, benefit verification and prompt follow up.
Responsibilities
- Because that's how we change the lives of patients for the better. And that's how we create better together. Why work at Enovis? See for yourself.
- Maintains professional and technical knowledge by staying current on relevant products (both of Enovis and its competitors), reviewing clinical publications/studies, and establishing personal networks.
- And that's how we create better together.
Requirements
- High School Diploma or GED required.
- Proficiency in Microsoft Office applications required.
- Must have full understanding of customer service and compliant insurance follow-up processes (i.e., Billing, Collections, Managed Care, Medicare, Medicaid, and Commercial payor practices).
- Pursues supporting documentation from Sales Team to ensure all required documents are received prior to invoicing.
- This position works collaboratively with cross-functional internal and external teams to obtain necessary documentation required to obtain insurance authorizations.
Nice to have
- Experience responding to patient and insurance inquiries preferred.
- Experience using DataWorks, Computers Unlimited TIMS, or similar case management software strongly preferred.
Skills
- For more information about Enovis, please visit www.enovis.com.
Benefits
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Vacation, Sick Leave, and Holidays
- We embrace collaboration with our partners and patients and take pride in the pursuit of scientific excellence - with the goal of transforming medical technology as we know it.
- As a key member of the Revenue Cycle Management team, you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes.
- Medical Authorization Specialist
- Verifies insurance eligibility and follows coordination of benefits guidelines.
- Determines revenue amounts based on allowable, benefits, unit price, payer guidelines, copayment, and contract pricing.
- Works to resolve submission issues which can include obtaining the appropriate Medical Record documentation or validation of coding.
- Appropriately challenges insurance companies by communicating information on Medical Necessity and negotiating coverage and pricing for the purchase of Enovis products that meet all applicable payor guidelines.
Company info
- ABOUT ENOVIS™
- Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent and innovation, the Company's extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond. For more information about Enovis, please visit www.enovis.com.
- Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows.
- Powered by a culture of continuous improvement, global talent and innovation, the Company's extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond.
- We know that the power to create better - for our customers, our team members, and our shareholders - begins with having the best team, pursuing common goals, operating at the highest levels, and delivering extraordinary outcomes.
- Exhibit a strong desire for technical knowledge, skills, and judgment to effectively serve customers and achieve goals.
Equal opportunity
- Enovis provides equal employment opportunities based on merit, experience, and other work-related criteria without regard to race, color, ethnicity, religion, national origin, sex, age, pregnancy, disability, veteran status, or any other status protected by applicable law.
- We also strive to provide reasonable accommodation to employees' beliefs and practices that do not conflict with Enovis policies and applicable law.
- We value the unique contributions that every employee brings to their role with Enovis.
Visa & Work Authorization
- Currently, Enovis does not provide sponsorship for employment visas (e.g., H-1B) and will not offer such sponsorship in the future.
This listing is sourced directly from Enovis's careers page and normalized into a canonical job model.