Medical Authorization Specialist

Who We Are

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.

What You'll Do

At Enovis™ we pay attention to the details. 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.

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.  

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.

Job Title:

Medical Authorization Specialist

Reports To:

Supervisor, Patient Care Services

Location:

Lewisville, Texas Dallas Headquarters

Business Unit Description:

Revenue Cycle Management

Position Summary: Medical Authorization Specialist seeks benefit coverage for patients from insurance groups with the responsibility of timely and compliant order entry, benefit verification, and prompt follow-up. This position works collaboratively with cross-functional internal and external teams to obtain the necessary documentation required to obtain insurance authorizations.

Key Responsibilities:

• Answers inbound and outbound calls, research, and identifies insurance to ensure compliant/proper account resolution.

• Verifies insurance eligibility and follows coordination of benefits guidelines.

• Determines revenue amounts based on allowable, benefits, unit price, payer guidelines, copayment, and contract pricing.

• Pursues supporting documentation from Sales Team to ensure all required documents are received prior to invoicing.

• 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 produ