Authorization & Referral Specialist

Florida Orthopaedic Institute; Clearwater (FL); Vor Ort; USD 32.000 - 42.000; Vollzeit

Zusammenfassung

Florida Orthopaedic Institute is seeking an Authorization Specialist to accurately obtain and document referrals and authorizations for patient visits and services. You will work with physician offices, insurance providers, and patients to ensure timely, compliant authorizations.

The role requires at least a high school diploma and 2+ years in a medical setting, with strong customer service and data entry skills.

Qualifikationen

• High school diploma required.
• 2+ years of experience in a medical environment.
• Excellent customer service and communication skills.
• Able to multitask and handle high call volumes.
• Excellent data entry skills.

Aufgaben

• Coordinate with primary care physicians and/or insurance companies to obtain referrals prior to patient appointments.
• Ensure all authorizations are properly documented in the system.
• Advise patients of potential problems obtaining authorization before the scheduled appointment.
• Coordinate with Billing/Collections to research and obtain authorizations on denied claims.
• Coordinate with Benefit Verification to confirm benefits when issues occur.
• Use insurance portals (Availity, Humana Military, United Healthcare, etc.) to obtain referrals/authorizations.
• Perform other duties as assigned.

Kenntnisse

Customer service

Communication

Multitasking

Data entry

Jobbeschreibung

Florida Orthopaedic Institute is seeking an Authorization Specialist to accurately obtain and document referrals and authorizations for patient visits and services. You will work with physician offices, insurance providers, and patients to ensure timely, compliant authorizations.

The role requires at least a high school diploma and 2+ years in a medical setting, with strong customer service and data entry skills.