The Core Institute
Referral and Authorization Coordinator I
The Core Institute - Royal Palm Beach, Florida, United States,Work at The Core Institute
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Overview
Referral and Authorization Coordinator I
Job Category
:
Center for Bone and JointRequisition Number
:
REFER008084Apply nowPosted : March 7, 2024Full-TimeLocations
Showing 1 locationRoyal Palm Beach, FL 33411, USA
Description
Center for Bone & Joint Surgery of the Palm Beaches
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 trainedorthopedic surgeons, each with a specific area of expertise.Center for Bone & Joint Surgery of the Palm Beaches 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.ESSENTIAL FUNCTIONS• Verifies and updates patient registration information in the practice management system.• Obtains benefit verification and necessary authorizations (referrals, precertification) before patient arrival for all ambulatoryvisits, procedures, injections, and radiology services.• Uses online, web-based verification systems and reviews real-time eligibility responses to ensure accuracy of insuranceeligibility.• Creates appropriate referrals to attach to pending visits.• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirmsas 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 primaryspecialty 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 queuegoals.• 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.*The job holder must demonstrate current competencies for this position.EDUCATION• High school diploma/GED or equivalent working knowledge preferred.EXPERIENCE• Minimum two to three years of experience in a healthcare environment in a referral, front desk, or billing role.
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Job Category
:
Center for Bone and JointRequisition Number
:
REFER008084Apply nowPosted : March 7, 2024Full-TimeLocations
Showing 1 locationRoyal Palm Beach, FL 33411, USA
Description
Center for Bone & Joint Surgery of the Palm Beaches
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 trainedorthopedic surgeons, each with a specific area of expertise.Center for Bone & Joint Surgery of the Palm Beaches 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.ESSENTIAL FUNCTIONS• Verifies and updates patient registration information in the practice management system.• Obtains benefit verification and necessary authorizations (referrals, precertification) before patient arrival for all ambulatoryvisits, procedures, injections, and radiology services.• Uses online, web-based verification systems and reviews real-time eligibility responses to ensure accuracy of insuranceeligibility.• Creates appropriate referrals to attach to pending visits.• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirmsas 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 primaryspecialty 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 queuegoals.• 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.*The job holder must demonstrate current competencies for this position.EDUCATION• High school diploma/GED or equivalent working knowledge preferred.EXPERIENCE• Minimum two to three years of experience in a healthcare environment in a referral, front desk, or billing role.
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