Medical Authorization & Patient Access Specialist

Florida Orthopaedic Institute; Florida; On-site; USD 32,000 - 52,000; Full time

Job summary

Florida Orthopaedic Institute in New Port Richey, FL is seeking a detail-focused Referral & Authorization Coordinator to obtain referrals and pre-authorizations for patient visits. You will contact physician offices, insurers, and patients to ensure timely approvals and accurate documentation.

This on-site role requires at least 2 years in a medical environment, strong data entry and communication skills, and the ability to manage multiple tasks while supporting billing and patient care teams.

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.
• Excellent Data entry Skills

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

Skills

Data entry

Customer service

Communication

Multitasking

Education

High school diploma

Job description

Florida Orthopaedic Institute in New Port Richey, FL is seeking a detail-focused Referral & Authorization Coordinator to obtain referrals and pre-authorizations for patient visits. You will contact physician offices, insurers, and patients to ensure timely approvals and accurate documentation.

This on-site role requires at least 2 years in a medical environment, strong data entry and communication skills, and the ability to manage multiple tasks while supporting billing and patient care teams.