Medical Call Center Representative

Job Description

Job Description

About the role:

The Medical Call Center Representative will be responsible for verifying and documenting all referrals and authorizations for physician clinic visits. They will verify new and existing insurance benefits to ensure that the correct co-pay is collected at the time of service, claims are filed to the correct mailing address, and referral requirements are documented. This person will be responsible for scheduling patients for physicians according to patient need in a call center environment.

Compensation

$16.00 – $17.00 per hour
Compensation is based on experience, certification level, and relevant orthopedic or high-volume clinical background.

What you'll do:

• Contacting 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 if properly documented in the system.
• Contact patient if information we have is not correct or we are unable to verify benefits for any reason, in order to obtain accurate information prior to patient’s scheduled appointment.
• 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
• Efficiently answer calls and schedule patient appointments
• All other duties as assigned.

What Makes You a Great Fit:

• You thrive in a fast-paced, high-volume orthopedic clinic environment.
• You are highly organized, detail-oriented, and confident managing multiple priorities.
• You take ownership of your role and support both your provider and team proactively.
• You value teamwork, adaptability, and accountability, and take pride in supporting your physician and patients.
• You’re organized, tech-savvy, and committed to ensuring data and documentation are accurate and timely.

What you need:

• Candidate must be a high school graduate. (required)
• Registration, scheduling, healthcare benefits experience helpful.
• Excellent customer service and communication skills.
• Must be detail oriented.
• Able to multi-task and handle high call volumes.
• Must have working knowledge of Windows based computer environment and typing skills.

Bonus if You Have:

• 2 or more years of experience in a healthcare environment. ( preferred)
• Experience in orthopaedics, trauma, or a high-volume practice
• Knowledge or understanding of scheduling systems
• Athena EMR experience
• Experience in orthopedics or another specialty clinic
• Prior experience assisting with orthopedic procedures such as injections or suture removal

What We Offer:

• A stable, full-time assignment with a growing orthopedic practice.
• Team-oriented environment focused on high-quality patient care
• Opportunity to build long-term career growth in orthopedics

About Florida Orthopaedic Associates

For more than 55 years, Florida Orthopaedic Associates has been committed to providing compassionate, state-of-the-art care to the communities we serve. That commitment has earned the trust of both patients and referring providers, making us a leading orthopaedic practice in Central Florida. Our team of fellowship-trained physicians delivers advanced non-surgical and surgical treatment options, with convenient access to specialists and same-day orthopaedic care across Central Florida, including DeLand, Orange City, Lake Mary, New Smyrna Beach, and Port Orange.

Orthopaedic Solutions Management is a Drug Free Workplace

We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we 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.