What a orthopedics pre-op authorization specialist does
An orthopedic pre-op authorization specialist owns prior auths for surgical procedures — total knee, total hip, ACL reconstruction, rotator cuff repair, spinal fusion, hardware removal, and arthroscopy. They submit through eviCore, Carelon, payer portals, and workers' comp adjusters, attach the required conservative care documentation (PT notes, injection records, imaging, conservative care duration), and chase status to approval before the case is booked.
They know the conservative care rules and clinical criteria for each major payer's surgical authorization pathway, including Medicare Advantage and managed Medicaid.
An orthopedic pre-op authorization specialist is a remote staff member who keeps surgical approval rates high and ensures no case is canceled the day before for a missing auth.
Why Orthopedics practices choose Staffing For Doctors
- Dedicated, full-time pre-op authorization specialist — not a shared pool
- Orthopedics-specific training on the EHRs and payers you use
- HIPAA compliant with signed BAA and secure devices
- Onboarded in 48 hours, with a dedicated Customer Success Manager
- Starts at $14/hour — no setup fees, no benefits overhead
Other orthopedics roles we staff
Build a complete remote team for your orthopedics practice.
Orthopedic Virtual Medical Assistant
An orthopedic virtual medical assistant is a dedicated remote staff member who runs the daily admin workload of an orthopedic practice — scheduling office visits, MRIs, X-rays, surgical consults, and post-op visits inside Modernizing Medicine ortho, Athena, eClinicalWorks, NextGen, or Epic Ortho. They route portal and phone messages, manage refills, coordinate DME orders, and follow up on workers' comp and personal injury cases.
Learn moreSurgical Coordinator
An orthopedic surgical coordinator owns the entire surgical pipeline from decision-to-operate through post-op follow-up. They book OR or ASC time with the hospital, secure pre-op clearance from primary care or cardiology, schedule pre-op labs and EKG, secure prior authorizations for the procedure and implants, send pre-op instructions to the patient, coordinate anesthesia, and confirm the case 48 hours out.
Learn moreDME Specialist
An orthopedic DME specialist manages the practice's durable medical equipment program — knee braces, walking boots, slings, CPM machines, bone stimulators, post-op cold therapy, and back braces. They verify DME coverage with commercial, Medicare, and workers' comp payers, secure prior authorizations, document medical necessity, dispense in clinic or coordinate vendor drop-ship, and submit DME claims with correct HCPCS codes and modifiers.
Learn moreWorkers' Comp Coordinator
An orthopedic workers' comp coordinator manages the unique workflow of work-injury patients — verifying claim numbers and adjuster information, securing every visit and procedure authorization through the workers' comp insurer or third-party administrator, coordinating IMEs, drafting work status reports and FCE referrals, and ensuring documentation supports the AMA Guides impairment rating.
Learn moreImaging Authorization Specialist
An orthopedic imaging authorization specialist owns prior auths for MRI, CT, and other advanced imaging that orthopedic offices order daily. They submit through eviCore, Carelon, NIA, and payer portals, attach the conservative care documentation required by Medicare Advantage and major commercial plans, and chase status until approval.
Learn morePost-op Outreach Coordinator
An orthopedic post-op outreach coordinator runs structured outreach for every patient after surgery — day-1 wellness check, week-1 wound and pain assessment, milestone follow-ups for PT progress, recall for suture removal and post-op imaging, and outcome surveys (KOOS, HOOS, DASH, PROMIS) that drive both quality reporting and patient marketing testimonials.
Learn moreFrequently asked questions
About hiring a orthopedics pre-op authorization specialist from Staffing For Doctors.