Authorization and Referrals

Florida Urology Partners LLP • Riverview, FL

2d

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 authorizations from in-network and out-of-network carriers for new-patient and follow-up visits with medical providers. It also reviews the daily schedule to identify patients needing prior authorization and communicates potential authorization issues to the direct supervisor. The position involves positive communication with patients and teamwork with front-office staff, including helping with other tasks as needed.

Requirements

• At least 2 years of medical billing and authorization experience is desired.
• Excellent organizational skills.
• Ability to prioritize workflow.
• Computer skills, including experience with 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 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 the patient's scheduled appointment 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 help with other tasks as needed.

What This Job Offers

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