Authorization Specialist

The Orthopaedic Institute • Gainesville, FL

21h

About The Position

The Orthopaedic Institute is seeking an Authorization Specialist. The primary function of the position is to obtain pertinent insurance benefit information and authorization for patients scheduled to receive services at the office. The role involves contacting insurance companies by phone and/or web-based sites, documenting insurance and authorization verification information in the EMR system, and ensuring coverage restrictions are documented and addressed. Additional job duties may be assigned.

The position requires high school diploma or GED and 1–2 years of experience in benefit verification or a related field. The job is based in an office setting and may require travel to existing or new TOI locations. Physical activities include computer-based work, filing, lifting and carrying office supplies, and occasionally lifting or moving 20–40 pounds.

Requirements

• High school diploma or GED.
• 1–2 years’ experience in benefit verification or a related field.
• Excellent customer service skills.
• Excellent written and verbal communication skills.
• Ability to multitask, manage details, and organize efficiently and effectively.
• Knowledge of medical terminology and procedures.
• Knowledge of health insurance industry practices and/or medical billing procedures.
• Computer literacy.
• Ability to perform office activities, including remaining seated for computer-based work, filing, lifting and carrying office supplies, and keyboarding.
• Ability to meet the stated vision requirements, talk and hear, and frequently stand, walk, sit, use hands to feel, and reach with hands and arms.
• Ability to occasionally lift and/or move up to 20–40 pounds.
• Travel may be required to existing or new TOI locations.

Nice To Haves

• Experience with medical scheduling/billing systems.

Responsibilities

• Contact insurance companies by phone and/or web-based sites to verify benefits.
• Prioritize workload to ensure deadlines are met.
• Document insurance and authorization verification information in the EMR system.
• Ensure coverage restrictions are documented and addressed.
• Complete additional job duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED