Referral and Authorization Coordinator I

Job Description Job Description Center for Bone & Joint Surgery is a multi-location medical practice devoted to the diagnosis and treatment of injuries and diseases of the body's musculoskeletal system. Our locations feature a staff of highly trained orthopedic surgeons, each with a specific area of expertise. Center for Bone & Joint Surgery offers a team approach to your care and provides a variety of services right on campus designed for your convenience and ensuring an outstanding continuum of care. These include on-site X-ray, on-site MRI, on-site physical therapy, and aquatic therapy. As Center for Bone & Joint Surgery of the Palm Beaches continues to grow, we are looking for Referral & Authorization Coordinator . Verifies and updates patient registration information in the practice management system. • Obtains benefit verification and necessary authorizations (referrals, precertification) after patient arrival for all ambulatory visits, procedures, injections, and radiology services. • Uses online, web-based verification systems and reviews real-time eligibility responses to ensure accuracy of insurance eligibility. • Creates appropriate referrals to attach to pending visits. • Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans. • Completes chart prepping tasks daily to ensure a smooth check-in process for the patient and clinic. • Researches all information needed to complete the registration process including obtaining information from providers, ancillary services staff, and patients. • Fax referral form to providers that do not require any records to be sent. Be able to process 75-80 referrals daily. For primary specialty office visits, fax referral/authorization form to PCPs and insurance companies in a timely fashion. • Reviews and notifies front office staff of outstanding patient balances. • Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals. • Respond to In-house provider and support staff questions, requests, and concerns regarding the status of patient referrals, care coordination, or follow-up status. • Identifies and communicates trends and/or potential issues to the management team. • Index referrals to patient account for existing patients. • Create new patient accounts for non-established patients to index referrals. At Center for Bone & Joint Surgery, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following: Competitive Health & Welfare Benefits Monthly $43 stipend to use toward ancillary benefits HSA with qualifying HDHP plans with company match 401k plan Employee Assistance Program Paid Time Off Paid Holidays and more...