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Florida Medical Clinic - Land O' Lakes, FL

Florida Medical Clinic, P.A.

Job Description

Job Title: Referral Clerk

Department: Pain Management Land O'Lakes

Reports to: Office Supervisor

Position Level: 3

Job Summary: Processes and obtains prior authorizations for outpatient procedures for the department

Essential Functions of the Position:

  • Prepares referrals and obtains authorizations for scheduled procedure patients per provider
    • Obtains approval from the provider and audit care coordinator for requested authorizations
    • Schedules appointments and reschedules appointments
    • Coordinates visits, pre-operative testing and surgical clearance
    • Notifies patients of the appointments, pending authorizations, and communications with insurance providers
    • Forwards clinical data to the treating provider and/or facility
    • Uses approved web tools to obtain authorizations( correct notes, CPT & ICD9 or 10 codes sent)
  • Coordinates admissions with providers and facilities
  • Enters referral authorization information into Practice Management System
  • Maintains updated network information
    • Notifies providers and staff of changes in the referral process or insurance requirements
    • Inputs providers into the Practice Management System as needed
  • Addresses and handles all tasks in a timely manner
  • Assists traffic on phones
    • Makes appointments-work comp, auto, HMO
    • Takes messages
    • Handles customer requests or needs
    • Assists vendors if related to procedures and authorizations
  • Handles and returns referral related calls
    • Notifies patients of authorization results and instructions from provider
Additional Responsibilities:
  • Maintains an organized and clean work area
  • Performs other incidental and related duties as required and assigned

Physical and Mental Demands:
  • Normal physical ability; able to sit for long periods
  • Normal concentration and normal complexity of decision making
  • High level verbal and written communication skills
  • Above average ability to manage multiple tasks simultaneously

Occupational Exposure:
  • Low risk exposure to blood borne pathogens and chemical hazards

Job Qualifications:
  • High school graduate or GED equivalent
  • Min. of 1 year experience with obtaining authorizations and referrals required
  • Strong customer service orientation
  • Time management: the ability to organize and manage multiple priorities
  • Basic computer proficiency
  • Strong team player
  • Must be willing to travel between various locations
... Learn More

About Florida Medical Clinic

Florida Medical Clinic has been categorized as Health Care : Health Care Services & Hospitals employer and has a rating of 3.1 / 5 out of a total count of 19 ratings

Posted 6 days ago - Save Job

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