Bioventus is seeking a Medical Authorization Specialist to support the company’s reimbursement strategy by pursuing authorizations and reimbursement and serving as a resource of expertise for payers.
The role focuses on reviewing medical record documentation, determining medical necessity using payer-specific criteria, submitting pre-authorization requests with supporting documentation, and maintaining accurate patient insurance and billing information. The position also helps ensure data integrity, supports collaboration with the Order Management team, and operates in compliance with company policies and internal controls.
Requirements & Qualifications
Qualifications
- High school diploma plus 4 years of related experience, or a 4-year college degree
- At least 1 year of medical authorization experience involving medical record review
- Knowledge and interpretation of medical terminology and ICD-10 coding
- Strong written and verbal communication skills
- Ability to communicate effectively with customers and internal personnel at all levels
- Strong persuasion and negotiation skills
- Ability to manage detailed information and stay organized
- Strong multitasking, time management, and prioritization skills
- Proficiency with Microsoft Word, Excel, and Outlook or similar software
- SAP or similar integrated software experience preferred
Benefits & Perks
Benefits and Perks
- Hybrid work models with strong work-life balance
- Continuous learning and development opportunities
- Professional development and mentoring
- Competitive compensation package, including salary and bonus
- Inclusive and diverse workplace culture
- Meaningful work supporting patients and active healing
Location
Memphis, Tennessee, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago