Authorization Representative - St. Petersburg

Job description

Qualifications: 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. - Communicates with patients over the phone in a professional and customer service oriented manner. - Communicates effectively with staff, secretaries, and physicians by phone, in person or in writing. - Captures the diagnostic study record for assigned clinic and becomes the record owner. - Verifies benefit coverage, eligibility for diagnostic study owned in File maker prior to testing date. - Ensures assigned diagnostic study records are completed in a timely manner. - Determines whether the patient’s insurance company required pre-authorization and obtains all authorizations, if applicable. - Able to identify the difference when a prior authorization or a referral is needed prior to the diagnostic studies being performed. - Identifies, reviews, extracts, and provides clinical notes, durations and...