Authorization Specialist

The Orthopaedic Institute; Gainesville (FL); On-site; USD 22,000 - 34,000; Full time

Job summary

The Orthopaedic Institute is seeking an Authorization Specialist to obtain insurance benefit information and authorization for patients scheduled for services at our office.

Responsibilities include contacting insurers to verify benefits, prioritizing workload to meet deadlines, and recording verification details in the EMR. Knowledge of medical terminology and insurance practices is beneficial.

Qualifications

• High school diploma or GED required.
• 1–2 years’ experience in benefit verification or related field preferred.
• Experience with medical scheduling/billing systems is desired.
• Knowledge of medical terminology and insurance practices helpful.

Responsibilities

• Verify insurance benefits by contacting carriers via phone or online portals.
• Prioritize workload to meet deadlines.
• Document verification information in the EMR system.
• Document coverage restrictions and address them.
• Perform any additional duties as assigned.

Skills

Customer service

Written and verbal communication

Multi-tasking / attention to detail

Medical terminology knowledge

Health insurance industry practices

Medical billing knowledge

Scheduling systems experience

Education

High School Diploma or GED

1–2 years experience in benefit verification

Tools

EMR systems

Job description

Description

JOB OVERVIEW:

The Orthopaedic Institute is currently seeking an Authorization Specialist

to join our team. The primary function of the position will be to obtain pertinent insurance benefit information and authorization for patients scheduled to receive services at our office.

ESSENTIAL FUNCTIONS INCLUDE, BUT ARE NOT LIMITED TO:

• Responsible for ensuring insurance companies are contacted to verify benefits through phone calls and/or web based sites
• Prioritizes workload to ensure deadlines are met
• Documents the insurance and authorization verification information in the EMR system
• Ensure coverage restrictions are documented and addressed
• Completes any additional job duties as assigned

Requirements

QUALIFICATIONS/LICENSE:

None

EDUCATION:

• High School Diploma or GED required
• 1 – 2 years’ experience in benefit verification or related field require

SKILLS:

• Excellent customer services skills
• Excellent written and verbal communication
• Ability to multi-task, manage details and organize efficiently and effectively.
• Must have knowledge of medical terminology and procedures, knowledge of health insurance industry practices and/or medical billing procedures
• Experience with medical scheduling/billing systems is desired
• Computer literacy required

PHYSICAL REQUIREMENTS:

The physical demands describe here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

• Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
• While performing the duties of this job, the employee is regularly required to talk and hear.
• Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)
• Frequently required to stand, walk, sit, use hands to feel, and reach with hand and arms
• Occasionally lift and/or move up to 20-40 pounds.
• Fine hand manipulation (keyboarding).
• Travel may be required to existing or new TOI locations.