Referral & Authorization Coordinator

Florida Orthopaedic Institute; Saint Petersburg (FL); On-site; USD 34,000 - 48,000; Full time

Job summary

Florida Orthopaedic Institute is seeking a Referral and Authorization Coordinator to accurately obtain and document referrals and authorizations for patients. The role involves contacting physician offices, insurance companies, and patients to ensure authorization for physician services, dates of service, and anticipated services.

Responsibilities include coordinating referrals with PCPs/insurers, documenting authorizations, informing patients of potential issues, and collaborating with

Qualifications

• High school graduate.
• 2+ years of experience in a medical environment.
• Excellent customer service and communication skills.
• Able to multi-task and handle high call volumes.
• Excellent Data entry skills.

Responsibilities

• Coordinate with 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 potential problems concerning obtaining authorization prior to scheduled appointment.
• Coordinate with Billing/Collections to research and obtain authorizations on previously denied claims.
• Coordinate with Benefit Verification Rep to confirm benefits when problems occur.
• Use insurance websites (Availity, Humana Military/Tricare, UnitedHealthcare) to obtain referrals/authorizations.
• All other duties as assigned.

Skills

Customer service

Communication

Multi-tasking

Data entry

Education

High school diploma

Tools

Availity

Humana Military (Tricare)

UnitedHealthcare

Job description

Florida Orthopaedic Institute is seeking a Referral and Authorization Coordinator to accurately obtain and document referrals and authorizations for patients. The role involves contacting physician offices, insurance companies, and patients to ensure authorization for physician services, dates of service, and anticipated services.

Responsibilities include coordinating referrals with PCPs/insurers, documenting authorizations, informing patients of potential issues, and collaborating with