Medical Authorization Specialist: Referrals & Coverage

Florida Orthopaedic Institute; Clearwater, Northern (FL, KY); Hybrid; USD 36,000 - 52,000; Full time

Job summary

Florida Orthopaedic Institute in Clearwater, FL is seeking a Referral and Authorization Coordinator to accurately obtain and document referrals and patient authorizations for the physician and scheduled services. You will contact physician offices, insurers, and patients to secure approvals.

Responsibilities include coordinating with primary care physicians and insurers for durable medical equipment authorizations; ensuring all authorizations are properly documented; informing patients of

Qualifications

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

Responsibilities

• Coordinate with physicians and insurance companies to obtain authorization for durable medical equipment.
• Ensure all authorizations and benefits are documented in the system.
• Advise patients of potential problems obtaining authorization prior to appointments.
• Collaborate with Billing/Collections to research and obtain authorizations on denied claims.
• Utilize insurer portals (Availity, Humana Military, UnitedHealthcare) to obtain referrals/authorizations.
• Perform other duties as assigned.

Skills

Customer service

Communication

Multitasking

Education

High school diploma

Tools

Availity

Humana Military (Tricare)

UnitedHealthcare

Job description

Florida Orthopaedic Institute in Clearwater, FL is seeking a Referral and Authorization Coordinator to accurately obtain and document referrals and patient authorizations for the physician and scheduled services. You will contact physician offices, insurers, and patients to secure approvals.

Responsibilities include coordinating with primary care physicians and insurers for durable medical equipment authorizations; ensuring all authorizations are properly documented; informing patients of