Center for Bone & Joint Surgery 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 trained orthopedic surgeons, each with a specific area of expertise. Center for Bone & Joint Surgery 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.
As Center for Bone & Joint Surgery of the Palm Beaches continues to grow, we are looking for Referral & Authorization Coordinator
Verifies and updates patient registration information in the practice management system.
• Obtains benefit verification and necessary authorizations (referrals, precertification) before patient arrival for all ambulatory
visits, procedures, injections, and radiology services.
• Uses online, web-based verification systems and reviews real-time eligibility responses to ensure accuracy of insurance
eligibility.
• Creates appropriate referrals to attach to pending visits.
• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms
as 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 primary
specialty 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 queue
goals.
• 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.
At Center for Bone & Joint Surgery, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:
Healthcare Outcomes Performance Company (HOPCo) is the leading provider of musculoskeletal value-based health outcomes management, service line management and practice management. This includes comprehensive management and optimization of specialties such as orthopedics, spine, hand, pain management, rehabilitation and neurology.
HOPCO’s integrated care and analytics platform has proven to increase the quality of patient care and program revenue while reliably reducing the total cost of care across the care continuum for practices, health systems and payors alike.
HOPCo’s affiliated payors, practices and health systems successfully participate in highly efficient value-based contracting (bundled payments, capitated population health programs, and other risk-based arrangements) utilizing HOPCo’s proprietary platforms, IT solutions, integrated analytics, and standardized care pathways. This helps our partners obtain real time, actionable insights into their systems, allowing them to comprehensively manage the entire business while improving outcomes for their treasured patients.
As a result, HOPCo has become the only organization with proven and sustainable success in population health management of musculoskeletal specialty care.
