Join a leading musculoskeletal care network through our partnership with United Musculoskeletal Partners (UMP), supporting Resurgens, a premier orthopedic practice known for its commitment to clinical excellence and patient outcomes.Why UMP? UMP is a physician-led organization focused on transforming musculoskeletal care through innovation, collaboration, and operational support. This role allows you to be part of that mission—delivering high-quality spine care in a thriving clinical environment.About Resurgens Orthopaedics Resurgens is recognized for its advanced treatment options, multidisciplinary approach, and dedication to improving patients’ quality of life. As part of this team, you’ll work alongside top spine specialists in a supportive and forward-thinking practice.Help us bring exceptional orthopedic care to the communities of Atlanta—where your expertise can truly make a difference.Benefits:

• Healthcare Options: PPO, HDHP, and Surest plans with a $100/month tobacco-free discount
• Dental & Vision Insurance
• 401(k) with Annual Employer Contributions
• Additional Coverage: HSA/FSA, short- and long-term disability, life and AD&D, legal assistance, and more
• Employee Assistance Program (EAP): Employer-paid support for life’s challenges
• Generous Paid Time Off:
  • Up to 4 weeks of PTO starting out. (Increases with tenure)
  • 7 paid holidays + 2 floating holidays

Obtain prior authorizations and precertification for orthopedic services, including but not limited to: Surgical procedures, PM&R services, Ancillary services (MRI, DME, Visco Supplementation, EMG testing, etc.)

• Review provider orders, clinical documentation, and diagnoses for completeness and accuracy.
• Collaborate with physicians, clinical staff, scheduling, and other partnering teams to obtain required documentation.
• Submit authorization requests via authorization vendor portals, payer portals, phone, fax, etc.
• Accurately document authorization details, reference numbers, payer communications, and outcomes in the electronic health record (EHR) or authorization system.
• Contact insurance payers to clarify coverage guidelines and authorization requirements, track pending requests and respond to medical review inquiries, and resolve authorization denials and requests for additional information.
• Escalate complex cases appropriately and assist with peer-to-peer coordination when needed.
• Communicate authorization status, requirements, and delays to internal team members / leadership promptly.
• Utilize centralized communication platform for position resources, announcements, PTO planning, etc.
• Other duties as assigned.

EDUCATION AND EXPERIENCE:

High School diploma or equivalent is required.

Two years of experience in prior authorization, pre-certification, or insurance verification in a physician office or hospital environment.

Orthopedic experience strongly preferred

Strong knowledge of insurance authorization processes and payer requirements

Familiarity with CPT, ICD-10, and basic medical terminology (orthopedics preferred)

Ability to interpret clinical documentation and payer medical necessity guidelines

Proficient with EHR systems, pre-certification platforms, and payer portals

Excellent communication, organization, and time-management skills

Ability to manage multiple requests in a fast-paced environment

SKILLS/ABILITIES:

Basic computer skills

Strong customer service

Ability to communicate clearly and concisely in all written and oral communications, including email

Strong organizational skills with great attention to detail

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or

diagram form

Demonstrated conflict management skills