Authorization Specialist - Patient Access

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

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.