Authorization Representative - Clearwater

Florida-Orthopaedic-Institute; Clearwater (FL); On-site; USD 21,000 - 30,000; Full time

Job summary

Florida-Orthopaedic-Institute in Clearwater, FL is seeking an Authorization Representative, responsible for obtaining referrals and authorizations for patient visits and services. You will contact physician offices, insurance companies, and patients to ensure timely approvals and accurate documentation.

The role requires a high school diploma and 2+ years in a medical setting, with excellent customer service and communication skills to manage high call volumes and multi-tasking.

Qualifications

• High school diploma required.
• 2+ years in a medical setting preferred.
• Strong customer service and communication skills essential.

Responsibilities

• Coordinate with physicians and insurance to obtain referrals prior to appointments.
• Ensure authorizations are documented in the system.
• Notify patients of potential authorization issues before visits.
• Collaborate with Billing/Collections to resolve denied authorizations.
• Assist Benefit Verification to confirm benefits when needed.
• Use insurance portals to obtain referrals/authorizations.
• Perform other duties as assigned.

Skills

Customer Service

Communication

Multitasking

Medical Environment

Education

High School Diploma

Tools

Availity

Humana Military (Tricare)

UnitedHealthcare

Job description

Authorization Representative - Clearwater

Job Category: Patient Access

Requisition Number: AUTHO003197

• Posted : September 3, 2026
• Full-Time
• On-site

Locations

Showing 1 location

Morton Plant 301 | FOI Clearwater
430 Morton Plant
Suite 301
Clearwater, FL 33756, USA

Description

Position Summary: Responsible for accurately and efficiently obtaining and documenting all referrals and authorizations. Ensures all patients are authorized for the physician, the date of service and all anticipated services. Referrals and Authorizations are obtained by contacting physician’s offices, insurance companies, and/or the patient.

Key Responsibilities:

• Coordinate with appropriate primary care physicians and/or insurance companies to obtain referrals for office visits prior to the patient’s scheduled appointment.
• Ensure all authorizations are properly documented in the system.
• Advise patients of any potential problems concerning obtaining authorization prior to the scheduled appointment.
• Coordinate with the Billing/Collections department to research and obtain authorizations on previously denied claims.
• Coordinate with the Benefit Verification Rep to confirm benefits when problems occur.
• Utilize insurance websites (Availity, Humana Military (Tricare),United Healthcare, etc.) to obtain referrals/authorizations
• All other duties as assigned

Qualifications:

• Candidate must be a high school graduate.
• 2 or more years of experience in a medical environment.
• Excellent customer service and communication skills.
• Able to multi-task and handle high call volumes.

Orthopaedic Solutions Management is a Drug Free Workplace

We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.