Referral / Authorization Representative

Description

At The Macula Center in Clearwater, FL, we have an immediate opening for a Referral / Authorization Representative to join our dynamic team. 

This is a Monday - Friday, Day shift position... No Weekends/No Holidays!

Responsibilities:

• Navigate Insurance websites for patient benefits/referrals and Authorizations.
• Verify patient benefits and update information when necessary.
• Request referrals from Patients' Primary Care Physician
• Request authorizations from Insurance companies for services being rendered.
• Request Medical records from primary care physician when necessary.
• Interact with patients and discuss coverage when necessary.
• Update the PM system with Authorization/Referral info.
• Medical office experience is needed. Ophthalmology experience and Insurance knowledge would be a huge plus.
• Have vital customer service and communications skills to interact positively with everyone.
• Must be able to juggle and prioritize multiple responsibilities and handle interruptions positively. 
• Have strong organizational and problem-solving skills and be compassionate to help patients and caregivers.
• Understanding of electronic health records, medical terminology, and HIPPA compliance. 
• Other office duties as requested by management.
• Providing the highest communication and service to all patients, staff, management, and vendors.  
• Have vital customer service and communications skills to interact positively with everyone. 
• Able to juggle and prioritize multiple responsibilities and handle interruptions positively. 
• Strong organizational and problem-solving skills and compassion to help patients and caregivers.
• Understanding of electronic health records, medical terminology, and HIPPA compliance. 
• Data entry, research, and verification of insurance coverages for patients procedures
• Medical office experience is needed. Ophthalmology experience and Insurance knowledge would be a huge plus.

What you get:

Understand the importance of work-life balance, we want our team members to thrive personally and professionally. In addition to a rewarding career, we offer a comprehensive wellness package that includes exciting benefits like an Employee Perk Package and Free Counseling and support services; for full-time employees, we offer:

• Excellent health insurance benefits
• Generous 401k matching program 
• Paid time off
• Paid holidays
• Free counseling and support services 
• Employee Perk Package  
• and so much more...

Requirements

•  High school diploma or GED required 
• Demonstrated ability to work in a team environment and mentor employees
• Ability to perform and cover for each administrative job manager supervises 
• Must have proficient computer skills
• Must be able to answer calls in a friendly and enthusiastic manner
• Must be able to handle multiple projects at one time accurately and efficiently
• Must be able to problem-solve
• Must be detailed-oriented
• Must have excellent communication skills, proper grammar, and writing capability
• Must be team-oriented
• Must be self-directed, highly motivated, able to multi-task, work under pressure in a fast-paced environment
• Must possess a caring, patient, and friendly attitude
• Must have previous medical office experience
• Stable work history in a medical practice. Strong insurance background a plus

If you are seeking new adventures in patient care and have a passion for going above and beyond to ensure all patients are given the best patient care experience, then we want to hear from you... Please Apply!

Apply now!