Medical Authorization Specialist - Referrals & Approvals

Florida Orthopaedic Institute; Clearwater (FL); On-site; USD 25,000 - 32,000; Full time

Job summary

Florida Orthopaedic Institute in Clearwater, FL seeks a Referral and Authorization Coordinator to obtain referrals and authorizations for patients before visits. You will coordinate with physicians, insurance companies, and patients to ensure coverage and scheduling.

Responsibilities include documenting authorizations, advising patients of issues, and collaborating with Billing/Collections and Benefit Verification to resolve denied claims.

Qualifications

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

Responsibilities

• Coordinate with primary care physicians and 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 Billing/Collections to research and obtain authorizations on previously denied claims.
• Coordinate with Benefit Verification to confirm benefits when problems occur.
• Utilize insurance websites to obtain referrals/authorizations (Availity, Humana Military, United Healthcare, etc.).
• All other duties as assigned.

Skills

Customer service

Communication

Multitasking

High call volumes

Education

High school diploma

Job description

Florida Orthopaedic Institute in Clearwater, FL seeks a Referral and Authorization Coordinator to obtain referrals and authorizations for patients before visits. You will coordinate with physicians, insurance companies, and patients to ensure coverage and scheduling.

Responsibilities include documenting authorizations, advising patients of issues, and collaborating with Billing/Collections and Benefit Verification to resolve denied claims.