What are the responsibilities and job description for the Authorization Representative - Clearwater position at Orthopaedic Solutions Management?
Job Description
Job Description
Key Responsibilities :
- Coordinate with appropriate primary care physicians and / or insurance companies to obtain referrals for office visits prior to the patient’s scheduled appointment.
- Ensure all authorizations are properly documented in the system.
- Advise patients of any potential problems concerning obtaining authorization prior to the scheduled appointment.
- Coordinate with the Billing / Collections department to research and obtain authorizations on previously denied claims.
- Coordinate with the Benefit Verification Rep to confirm benefits when problems occur.
- Utilize insurance websites (Availity, Humana Military (Tricare),United Healthcare, etc.) to obtain referrals / authorizations
- All other duties as assigned
Qualifications :
