Patient Access Pro: Benefits & Authorizations

Florida Orthopaedic Institute; Florida; On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Full-time opportunities with career 성장

Job summary

The Florida Orthopaedic Institute is seeking a Patient Access Representative II - Benefits/Authorizations to obtain referrals and authorizations for the physician, date of service, and anticipated services. You will contact physician offices, insurance companies, and patients to secure referrals and verify coverage for scheduled visits.

Responsibilities include documenting authorizations, advising patients of potential authorization issues, and coordinating with Billing/Collections to resolve

Qualifications

• High school diploma required.
• Experience in a healthcare environment preferred.
• Excellent customer service and communication skills.
• Detail oriented and able to multitask in a fast-paced setting.
• Working knowledge of Windows-based computer environments and typing.

Responsibilities

• Coordinate with primary care physicians and insurers to obtain referrals prior to appointments.
• Ensure all authorizations are properly documented in the system.
• Advise patients of potential problems obtaining authorization before appointments.
• Coordinate with Billing/Collections to research and obtain authorizations on denied claims.
• Coordinate with Benefit Verification Rep to confirm benefits when problems occur.
• Utilize insurance websites to obtain referrals/authorizations.
• Ensure compliance with company plans, policies, and procedures.
• All other duties as assigned.

Skills

Customer service

Communication

Attention to detail

Multitasking

Typing

Windows OS

Education

High school diploma

Tools

Windows operating system

Job description

Position Summary: The Patient Access Representative II - Benefits/Authorizations is responsible for accurately and efficiently obtaining and documenting all referrals and authorizations to ensure all patients are authorized for the physician, the date of service and all anticipated services. Referrals and Authorizations are obtained by contacting physician’s offices, insurance companies, and/or the patient.

Responsibilities

Key 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.
• Assure compliance with all company plans policies and procedures set forth by the Florida Orthopaedic Institute
• All other duties as assigned.
  
  

About You

• Candidate must be a high school graduate.
• 1 or more years of experience in a healthcare environment.
• Registration, scheduling, healthcare benefits experience helpful.
• Excellent customer service and communication skills.
• Must be detail oriented.
• Able to multi-task and handle high call volumes.
• Must have working knowledge of Windows based computer environment and typing skills.
  
  

At FOI our goal is to provide our patients with world-class orthopedic care.

Our mission of providing the best care encompasses not only the care the physician provides, but all medical and administrative aspects of the patients encounter with Florida Orthopaedic Institute (FOI) as well. Every staff member plays a vital role in this mission. We take pride in receiving the Patriot Award from the Department of Defense for the support that we give to National Guard and Reserve members who are employed by FOI. We are committed to encouraging a culture of inclusion reflective of the communities we serve, and we provide equal opportunity to all. Florida Orthopaedic Institute conforms to the spirit as well as to the letter of all applicable laws and regulations.

What We Offer

• Full time opportunities available, with room for career growth and advancement.
• Excellent job security and stability, to promote an optimal work life balance.
• Be part of this dynamic and growing high level Patient Access team!
  
  

Orthopaedic Solutions Management is a Drug Free Workplace

We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.