Authorization & Referral Coordinator II

Austin Regional Clinic: ARC; Austin (TX); Hybrid; USD 40,000 - 55,000; Full time

Job summary

Austin Regional Clinic is seeking an Authorization & Referral Coordinator II to manage patient referrals and insurance authorizations. This role requires strong communication skills and healthcare office experience, ensuring compliance and efficient coordination between patients and specialists. Join a top employer in Central Texas offering comprehensive benefits.

Benefits

Medical, Dental, Vision

Flexible Spending Accounts

401(k)

Tuition Reimbursement

Child Care Assistance

Qualifications

• 6+ months healthcare office experience required.
• Preferred experience with insurance authorizations and high-volume customer service.

Responsibilities

• Obtain timely authorizations from insurance carriers.
• Serve as a resource for authorization and referral questions.
• Document authorization/referral info accurately in Epic.

Skills

Communication

Interpersonal skills

Problem analysis

Task prioritization

Education

High school diploma or equivalent

Job description

Join to apply for the Authorization & Referral Coordinator II role at Austin Regional Clinic: ARC

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Join to apply for the Authorization & Referral Coordinator II role at Austin Regional Clinic: ARC

ABOUT AUSTIN REGIONAL CLINIC: Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/

Job Details

Description

ABOUT AUSTIN REGIONAL CLINIC: (Repeated, can be omitted for conciseness)

PURPOSE

Under supervision of the Centralized Authorizations and Referrals Supervisor, responsible for obtaining authorizations and coordinating patient referrals to specialists. Acts as a resource for patients and staff regarding authorization and referral questions, ensuring compliance, confidentiality, and alignment with organizational mission.

Essential Functions

1. Assist with responsibilities of Referral Coordinator I as directed.
2. Maintain current knowledge of insurance authorization and referral requirements.
3. Obtain timely authorizations from insurance carriers per department guidelines.
4. Serve as a resource for authorization and referral questions for patients and staff.
5. Communicate authorization/referral information to patients and specialists efficiently.
6. Act as liaison between Primary Care and Specialty offices.
7. Review charts to determine appropriate clinical information for insurance submissions.
8. Create, modify, and sign referral orders within protocols.
9. Coordinate transmission of medical records to specialists.
10. Document authorization/referral info accurately in Epic.
11. Inform physicians of patient compliance and any delays in authorization.
12. Communicate updates and issues to patients and leadership.
13. Promote teamwork across departments.
14. Adhere to policies including OSHA, HIPAA, and Code of Conduct.
15. Maintain regular attendance.
16. Follow core competencies outlined by the company.
17. Work holiday shifts as required.

Other Duties

1. Assist in training team members.
2. Participate in organizational development activities.
3. Adjust work schedule as needed to meet deadlines.
4. Perform additional duties as assigned.

Qualifications

Education and Experience

• Required: High school diploma or equivalent; 6+ months healthcare office experience.
• Preferred: Experience with insurance authorizations, high-volume customer service, or contact centers.

Knowledge, Skills, and Abilities

• Knowledge of medical insurance, terminology, and coding.
• Strong communication, interpersonal, and computer skills.
• Ability to analyze problems, manage conflicts, and prioritize tasks.
• Professional demeanor and ability to follow instructions.

Work Schedule: Monday-Friday, 8am-5pm. Work from home after orientation.