Central Authorization Specialist Position Available In Hillsborough, Florida

Central Authorization Specialist 4.1 4.1 out of 5 stars 13837 Circa Crossing Drive, Lithia, FL 33547 Orthopaedic Medical Group of Tampa Bay is a healthcare company that provides orthopaedic care and skilled physical therapy. We offer a full range of services for clients with orthopedic problems, work-related injuries, sports injuries, and various orthopaedic conditions. We strive to provide quality care to our patients, a warm work environment where patients and employees can prosper. We are looking for a full-time Central Authorizations Specialist to join our team in our Lithia Office.

QUALIFICATIONS

Knowledge:

Must have knowledge of the mission, vision, values, and commitments of the Orthopaedic Medical Group of Tampa Bay. Knowledge of the following is required: Principles of customer service, clerical procedures, obtaining referrals, medical ethics, medical record administration, appointment booking, guidelines for release of medical information, and applicable information systems.

Education:

Successful completion of the approved Medical Assistant or Medical Admin Program is desired. Experience in the clerical field required.

Training:

Working knowledge of introductory word processing and database operations is preferred. Completed checklist for all administrative and EMR processes.

Essential Duties and Responsibilities:

• Completes required data entry to electronic medical record.
• Receives & distributes information in a timely & efficient manner to facilitate continuity of care.
• Maintains health records and storage and retrieval system.
• Assists in management of communication between patient-provider, insurance, and ancillary departments.
• Reviews patient demographics to match the EMR.
• Responsible for reviewing, updating, inputting, and coordinating medical information by completing required data entry to electronic medical record.
• Responsible for verifying insurance requirements and ensuring required documentation is available prior to scheduling appointments.
• Communicates with providers and office staff, using EMR message system, providing detailed coordination of patient care.
• Communicates with primary care provider (PCP) to inform any delays or barriers to patient care.
• Corrects authorizations that were incorrectly entered into referral system.
• Ensures proper management, security, confidentiality of medical records, adhering to HIPAA standards.
• Accurately approve referrals that fall within their scope of practice as determined by the medical leadership
• Will be required to process 30 plus referrals per day.
• Verifies document and update insurance information with each patient encounter
• Performs related duties as assigned by supervisor.
• Maintains compliance with all company policies and procedures.
• Provides excellent customer service and makes follow-up calls to patient.
• Aligns all aspects of job with organization mission & programs.
• Participates with other team members in assessing, improving and providing customer service to patients.
• Helps manage communication between patient and provider and insurance and ancillary departments.

Work Environment This job operates in a professional clinical environment. This role routinely uses standard office equipment such as computers, tablets, phones, photocopiers, filing cabinets, and fax machines. Ability to work a flexible schedule. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. Stress can be triggered by workload and complex cases. Occasional stress caused by multitasking, level of responsibility, and workload.

POSITION TYPE/EXPECTED HOURS OF WORK

This is a full-time, non-exempt position. Days and hours of work are Monday through Friday, 8:00 AM to 5:00 PM but may vary. Occasional overtime may be required and/or hours may be shortened as business needs dictate.

Job Type:

Full-time Pay:

From $16.00 – $18.00 per hour

Job Type:

Full-time Pay:

$16.00 – $18.00 per hour Expected hours: 40 per week

Benefits:

401(k) Dental insurance Disability insurance Health insurance Life insurance Paid time off Vision insurance

Medical Specialty:

Orthopedics Schedule:

8 hour shift

Experience:

Medical administrative support: 1 year (Preferred) Medical authorizations: 1 year (Preferred) Medical office: 1 year (Required) Ability to

Commute:

Lithia, FL 33547 (Required)

Work Location:

In person