Benefits and Authorizations Specialist

4 weeks ago


Tampa, Florida, United States Orthopaedic Solutions Management Full time
Job Overview:
As a Patient Access Representative II, you will play a crucial role in ensuring smooth patient encounters at Florida Orthopaedic Institute (FOI). Your primary responsibility will be to obtain and document accurate referrals and authorizations, which are essential for providing timely and quality medical services. To excel in this position, you should possess a strong customer service mindset, attention to detail, and effective communication skills. FOI offers competitive salaries, excellent benefits, and opportunities for professional growth.

Key Responsibilities:
- Obtain and document accurate referrals and authorizations from primary care physicians and insurance companies
- Ensure all authorizations are properly documented in the system
- Advise patients of any potential problems concerning obtaining authorization prior to their scheduled appointment
- Coordinate with the Billing/Collections department to research and obtain authorizations on previously denied claims
- Utilize insurance websites to obtain referrals/authorizations
- Maintain compliance with company plans, policies, and procedures
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