Job Details

In this role you will:

The Patient Access Representative II will be responsible for Scheduling and Benefits or Authorization. Scheduling/Benefits staff will be responsible for the coordination of scheduling and insurance verification by identifying insurance plans and benefits that are quickly identifiable through Athena at time of scheduling and documenting appropriately to assist the benefit by identifying insurance plans and benefits that are quickly identifiable at time of scheduling and documenting appropriately. Scheduling/Benefits Rep are responsible for accurately and professionally scheduling patients for FOI physicians according to patient need and physician protocol in a call center environment. Must obtain all information related to the appointment to include patient demographics, verifying, and documenting all new and existing insurance benefits to start the benefit and authorization process as well as method of referral.

Authorization Rep will be responsible for accurately and efficiently obtaining and documenting all referrals and authorizations for physician clinic visits by contacting physician’s offices, insurance companies and/or patient. is responsible for accurately and professionally scheduling patients for FOI physicians according to patient need and physician protocol in a call center environment. Must obtain all information related to the appointment to include patient demographics, verifying, and documenting all new and existing insurance benefits to start the benefit and authorization process as well as method of referral.

Key Responsibilities:

Scheduling/Benefits Rep:

• Register all new patient in the computer system by obtaining patient demographics and insurance information and source of referral.
• Schedule appointments according to patient need and physician and authorization protocols.
• Verify benefits through electronic eligibility system to confirm effective date of insurance coverage, PCP Information, whether referral is required, co-pay or co-insurance information to ensure patient responsibility is collected at time of service.
• All obtainable benefit information at time of scheduling should be properly documented in the system so that any visits that need further financial clearance can be easily passed off the Financial Clearance Team.
• Update all information from prior visit if needed.

Authorization Rep:

Both Positions:

• Assure compliance with all company plans policies and procedures set forth by the Florida Orthopaedic Institute
• All other duties as assigned.

Qualifications

About You:

• Candidate must be a high school graduate.
• 2 or more years of experience in a Healthcare environment with registration/scheduling benefit/authorization background preferred.
• Must be detailed oriented.
• Excellent customer service and communication skills.
• Able to multi-task and handle high call volumes.
• Must have a working knowledge of Windows based computer environment and typing skills.