Florida Orthopaedic Institute
Authorization Representative - Clearwater
Florida Orthopaedic Institute, Clearwater, Florida, United States, 34623
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 All other duties as assigned Qualifications:
Candidate must be a high school graduate. 2 or more 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
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 Qualifications:
Candidate must be a high school graduate. 2 or more 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