Prior Authorization & Referrals Specialist

Florida Urology Partners, LLC; Riverview (FL); On-site; USD 36,000 - 52,000; Full time

Job summary

Florida Urology Partners, LLC is seeking an Authorization and Referrals specialist to obtain and log all necessary prior authorizations and/or referrals into the Electronic Health Record and billing system before scheduled appointments.

You will review daily schedules, request authorizations, and input them into the e-MDs system while maintaining clear communication with patients and the front-office team.

Qualifications

• Minimum 2 years in medical billing and authorization.
• Excellent organizational skills.
• Able to prioritize workflow.

Responsibilities

• Receive, track and obtain insurance authorization from in-network and out-of-network carriers for New Patient and Follow-Up visits with our medical providers.
• Analyze daily schedule for patients needing prior authorization.
• Request and obtain all authorizations prior to patients scheduled appointment/treatment.
• Prepare and enter all authorizations into the e-MDs program.
• Communicate to direct supervisor any potential authorization issues.
• Positively communicate and interact with patients
• Team player with front office staff and able to help with other tasks as needed

Skills

Medical billing

Authorization experience

Organizational skills

Prioritization

Tools

Electronic Health Records

Outlook

Windows

Microsoft Word

Phreesia

Online insurance carrier websites

Job description

Florida Urology Partners, LLC is seeking an Authorization and Referrals specialist to obtain and log all necessary prior authorizations and/or referrals into the Electronic Health Record and billing system before scheduled appointments.

You will review daily schedules, request authorizations, and input them into the e-MDs system while maintaining clear communication with patients and the front-office team.