Patient Access & Authorization Specialist

Florida Orthopaedic Institute; Florida; On-site; USD 36,000 - 54,000; Full time

Job summary

Florida Orthopaedic Institute in Clearwater seeks an Authorization Representative to accurately obtain and document referrals and authorizations for patients, physician services, and dates of service. The role involves coordinating with primary care physicians and insurers, guiding patients, and ensuring authorizations are completed in the system.

This on-site position requires strong customer service, multitasking, and the ability to manage high call volumes.

Qualifications

• High school graduate 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 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

Customer service

Communication

Multitasking

Education

High school diploma

Job description

Florida Orthopaedic Institute in Clearwater seeks an Authorization Representative to accurately obtain and document referrals and authorizations for patients, physician services, and dates of service. The role involves coordinating with primary care physicians and insurers, guiding patients, and ensuring authorizations are completed in the system.

This on-site position requires strong customer service, multitasking, and the ability to manage high call volumes.