Medical Authorization Coordinator

Florida Orthopaedic Institute; Town of Florida, Northern (NY, KY); Hybrid; USD 38,000 - 62,000; Full time

Job summary

Florida Orthopaedic Institute is seeking a qualified professional to manage referrals and authorizations for patients to ensure timely access to services.

Responsibilities include coordinating with physicians and insurers, documenting authorizations, and guiding patients through potential issues before appointments. A minimum of two years in a medical setting and strong customer service are required.

Qualifications

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

Responsibilities

• Coordinate with PCPs and/or insurance companies to obtain referrals for office visits prior to scheduled appointments.
• Ensure all authorizations are properly documented in the system.
• Advise patients of potential issues obtaining authorization prior to appointments.
• Coordinate with Billing/Collections to research and obtain authorizations on denied claims.
• Coordinate with Benefit Verification to confirm benefits when problems occur.
• Use insurance portals (Availity, Humana Military/Tricare, UnitedHealthcare, etc.) to obtain referrals/authorizations.
• All other duties as assigned.

Skills

Customer service

Communication

Multi-tasking

Education

High School Diploma

Job description

Florida Orthopaedic Institute is seeking a qualified professional to manage referrals and authorizations for patients to ensure timely access to services.

Responsibilities include coordinating with physicians and insurers, documenting authorizations, and guiding patients through potential issues before appointments. A minimum of two years in a medical setting and strong customer service are required.