Authorization and Referrals

Florida Urology Partners Llp • Riverview, FL

1d

About The Position

The Authorization and Referrals position is responsible for obtaining and logging all necessary prior authorizations and/or referrals in the Electronic Health Record and medical billing system before scheduled appointments. The role receives, tracks, and obtains insurance authorization from in-network and out-of-network insurance carriers for new-patient and follow-up visits with medical providers. The position also analyzes the daily schedule to identify patients who need prior authorization, requests and obtains authorizations before scheduled appointments or treatment, and enters authorizations into the e-MDs program. The employee communicates potential authorization issues to the direct supervisor, interacts positively with patients, and works as a team player with front-office staff while helping with other tasks as needed.

Requirements

• At least 2 years of medical billing and authorization experience desired.
• Excellent organizational skills.
• Ability to prioritize workflow.
• Computer skills, including Electronic Health Records, Outlook email, Windows, Microsoft Word, online insurance carrier websites, and Phreesia.

Responsibilities

• Receive, track, and obtain insurance authorizations from in-network and out-of-network insurance carriers for new-patient and follow-up visits.
• Analyze the daily schedule to identify patients who need prior authorization.
• Request and obtain all authorizations before scheduled appointments or treatment.
• Prepare and enter authorizations into the e-MDs program.
• Communicate potential authorization issues to the direct supervisor.
• Communicate and interact positively with patients.
• Work as a team player with front-office staff and assist with other tasks as needed.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed