Patient Access Representative I - Benefits/Authz(2 of 2)

About the role

This role involves accurately and efficiently verifying and documenting all new and existing insurance benefits to ensure the correct co-pay is collected at the time of service, claims are filed to the correct mailing address, and referral requirements are entered.

Responsibilities

• Contact insurance companies via phone or internet to obtain effective date of insurance coverage, type of coverage, co-pay or co-insurance information, coverage for x-rays and casting, PCP information if required, whether referral is required, and address for claims submission.
• Ensure all benefit information is properly documented in the system.
• Contact patients if information is not correct or cannot be verified, to obtain accurate information prior to their scheduled appointment.
• Re-verify patient insurance benefits every 60 days.
• Properly document the need for referral and coordinate with the Authorization Representative to confirm if any authorization questions occur.
• Utilize insurance websites (Availity, Humana Military (Tricare), United Healthcare, etc.) to obtain insurance benefits.
• Assure compliance with all company plans policies and procedures set forth by the Florida Orthopaedic Institute.
• Handle other duties as assigned.

Requirements

• High school graduate.
• 2 or more years of experience in a healthcare environment.
• Registration, scheduling, healthcare benefits experience helpful.
• Excellent customer service and communication skills.
• Detail oriented.
• Able to multi-task and handle high call volumes.
• Working knowledge of Windows based computer environment and typing skills.

Qualifications

• Candidate must be able to work in a dynamic and growing high-level Patient Access team.
• Full-time opportunities available with room for career growth and advancement.
• Excellent job security and stability to promote an optimal work-life balance.
• Part of a dynamic and growing high-level Patient Access team.
• Orthopaedic Solutions Management is a Drug-Free Workplace.

Benefits

• Room for career growth and advancement.
• Excellent job security and stability.
• Optimal work-life balance.
• Part of a dynamic and growing high-level Patient Access team.
• Orthopaedic Solutions Management is a Drug-Free Workplace.

Schedule

Full-time opportunities available.

Pay

Details on pay are not specified in the job posting.

Benefits

• Excellent job security and stability.
• Optimal work-life balance.
• Room for career growth and advancement.
• Part of a dynamic and growing high-level Patient Access team.
• Orthopaedic Solutions Management is a Drug-Free Workplace.

Company Information

Florida Orthopaedic Institute is committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, they operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.