Prior Authorization Associate Jobs in Troy, MI (NOW HIRING)

Who We Are

As the largest and most comprehensive orthopaedic team in the state, we bring together the medical expertise of leading orthopaedic and musculoskeletal surgeons, specialists, and research pioneers. Every provider in our network shares a deep commitment to leadership in education, innovation, and research, as well as a dedicated focus on prioritizing patient care across the continuum of treatment.

Why Join Us?

Interested in orthopaedics? Discover why it’s worth pursuing with us. Our career opportunities offer competitive salaries, outstanding benefits, and a platform to pursue your passion. As Michigan’s largest and most comprehensive orthopaedic team, we are actively seeking skilled and enthusiastic individuals to join us today.

Position Summary

The DME Coordinator plays a vital role in delivering exceptional orthopedic patient care by ensuring patients are properly fitted, educated, and supported with durable medical equipment (DME) prescribed by their provider. This role combines clinical expertise, patient education, inventory management, insurance coordination, and administrative accuracy to create an outstanding patient experience.

The ideal candidate is highly organized, compassionate, and thrives in a fast-paced orthopedic practice. They confidently fit orthopedic braces and equipment, educate patients on proper use, maintain accurate documentation, collaborate across multiple departments, and serve as a trusted resource for both patients and clinical staff.

Duties and Responsibilities

• Coordinate DME for patients at assigned locations.
• Perform accurate measurements and fittings of orthopedic braces and durable medical equipment based on provider orders.
• Educate patients on the proper application, removal, care, and safe use of orthopedic devices.
• Clearly explain available DME options to patients.
• Maintain accurate EMR documentation related to DME fittings, patient education, and inventory transactions.
• Collaborate with Providers, Clinical Staff, Billing, Prior Authorization, and Insurance Verification teams to ensure timely patient care and accurate reimbursement.
• Manage DME inventory by monitoring stock levels, ordering supplies, organizing products, and maintaining inventory accuracy.
• Serve as the primary DME resource for assigned clinic(s), answering questions and assisting staff with DME-related processes.
• Assist in onboarding and training clinical staff on proper DME fitting techniques and department workflows.
• Communicate policy updates and process improvements with providers and clinic teams.
• Maintain compliance with all DME policies, payer requirements, and organizational standards.
• Take responsibility of assigned areas while contributing to the overall success of the DME department.
• Perform additional duties and special projects as assigned.

Knowledge, Skills, and Abilities

• Exceptional patient service with a compassionate and professional approach.
• Ability to educate patients in a clear, confident, and reassuring manner.
• Strong knowledge of orthopedic braces, splints, and durable medical equipment.
• Knowledge of anatomy, medical terminology, and orthopedic conditions.
• Experience documenting accurately within an Electronic Medical Record (EMR).
• Understanding of insurance verification and DME reimbursement processes.
• Strong organizational and inventory management skills.
• Excellent verbal and written communication skills.
• Strong attention to detail with excellent follow-through.
• Ability to multitask and prioritize responsibilities in a fast-paced clinical environment.
• Demonstrated problem-solving skills and adaptability.
• Ability to remain calm and professional during high-pressure or difficult patient interactions.
• Strong collaboration skills with providers, clinical teams, and administrative departments.

Education, Experience, Licenses, and Certifications

Required

• High School Diploma or equivalent.
• Experience working in an orthopedic, sports medicine, rehabilitation, or durable medical equipment setting.
• Experience providing direct patient care and education.

Preferred

• Associate's or Bachelor's degree.
• Two or more years of experience in one or more of the following:
  • Orthopedic or Sports Medicine practice
  • Durable Medical Equipment provider
  • Physical or Occupational Therapy clinic
  • Athletic Training environment
  • Certified Orthotic Fitter (COF)
  • Athletic Trainer (ATC)
  • Orthopaedic Technician certification
  • Additional orthopedic casting or sports medicine training

Our company participates in E-Verify to confirm the employment eligibility of all newly hired employees, as required by federal law.