Since 1972, Orlando Orthopaedic Center has remained independently owned and has grown to include 24 orthopaedic specialists across multiple subspecialties, many of whom are recognized leaders amongst their peers nationwide.

We have nine Orlando Orthopaedic Center locations throughout Central Florida, plus a state-of-the-art outpatient surgery center at the heart of our downtown campus located in the trendy SoDo Shopping District just south of downtown Orlando. To provide more immediate care, we have opened several orthopaedic injury walk-in clinics located throughout Orlando and the surrounding communities.

For over 50 years, our team of physicians and support staff have been getting Central Floridians back to work, back to play and back to making a difference in our community.

Whether it is supporting the local Arthritis Foundation in their annual walk or providing pre-participation sports physicals to high school students, our team at Orlando Orthopaedic Center is actively making a difference throughout Central Florida.

*JOB SUMMARY: *Responsible for reviewing surgery orders that are awaiting authorization, verifying insurance benefits and obtaining authorization. Composing surgical estimates, Good Faith Estimates, and reviewing them with the patient as needed. Following documentation guidelines and communicating with the surgical team and management.

*EDUCATIONAL REQUIREMENTS:*

? High school diploma required
? Advanced Degree or Certification preferred

*QUALIFICATIONS AND EXPERIENCE:*

? Three plus years of work experience in a physician practice required
? Pre-Certification experience is preferred
? Knowledge of practice management and electronic health record software
? Ability to perform multiple and diverse tasks simultaneously
? Strong written and verbal communication skills
? Strong attention to detail and problem solving skills

*Responsibilities include, but are not limited to, the following:*

? Review surgery order list for surgeries that are awaiting authorization. Prioritize as needed.
? Verify insurance benefits via insurance portals when applicable. When not applicable, verify insurance benefits via phone.
? Obtain authorization for surgical procedures via insurance portals when applicable. When not applicable phone in the authorization request or fax as needed.
? Review progress notes and articulate medical necessity information to insurance carriers as needed.
? Send all requested medical records needed to assist in the authorization process.
? Follow up on pending surgical procedures within two business days to ensure the insurance company has received the authorization request (when applicable).
? Compose surgical estimates and Good Faith Estimates; review them with the patient as needed.
? Ensure the surgery authorization notes area is updated at all times.
? Communicate with Physician Teams pending authorizations (within two business days), benefit limitations, etc.
? Address all surgery recertification requests from the surgery coding specialist.

*General Administration*

? Maintain detailed knowledge of practice management, electronic health record and other computer software as it relates to job functions.

? Attend continuing education courses as requested.
? Complete all other duties as assigned by the Physician Team Manager.
? Notify Physician Team Manager of all surgery re-certifications.
? Abide by HIPAA Confidentiality Agreement.

*Supervisory Responsibilities *
This job has supervisory responsibilities.

*Typical Physical Demands *
Position requires extended sitting, some standing, bending, stooping, and stretching. Good eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment is also required. Employee must have normal range of hearing and eyesight to record, prepare, and communicate appropriate reports. Employee will work under stressful conditions, and work irregular hours.

*Typical Working Conditions *
Normal office environment. Occasional evening or weekend work.

Job Type: Full-time

Benefits:
* 401(k) matching
* Dental insurance
* Health insurance
* Paid time off
* Vision insurance



Application Question(s):
* What is your required hourly wage range for this position?

Education:
* High school or equivalent (Preferred)

Experience:
* physician practice: 3 years (Preferred)
* Pre-Certification: 1 year (Preferred)

Ability to Relocate:
* Orlando, FL 32806: Relocate before starting work (Required)

Work Location: In person