Cardiology Referral & Authorization Specialist

Cardiac Solutions; Peoria (AZ); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Competitive wages

Monday – Friday for most positions

7 Company Paid Holidays*

Employee Medical coverage option as低as

Job summary

Cardiac Solutions in Peoria, AZ is seeking an Insurance Authorization Specialist to verify benefits, obtain referrals, and secure required authorizations for office visits and procedures. You will work with a patient-centered team, coordinate with PCPs and insurers, and minimize delays and patient out-of-pocket costs while maintaining HIPAA compliance.

A knowledge of HIPAA, medical terminology, and Microsoft Office is required, with at least one year of eligibility/referral/authorization

Qualifications

• Minimum of one-year medical eligibility/referral/authorization experience.
• Detail oriented.
• Excellent verbal and written communication skills.
• Excellent customer service skills.
• Medical terminology.

Responsibilities

• Obtains and verifies that applicable mandatory referrals are on file.
• Verifies Primary and Secondary insurance plans.
• Verifies and updates patient registration information in the practice management system.
• Create new patient accounts for non-established patients.
• Obtains benefit verification and necessary authorizations /referrals prior to patient arrival for all visits.
• Creates appropriate referrals/cases to attach to pending visits.
• Uses online, web-based verification systems and reviews real-time eligibility responses to ensure accuracy of insurance eligibility.
• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
• Fax referral form to PCPs for office visits in timely fashion.
• Manages both internal and external incoming calls to the department
• Consistently seeks resources to stay informed on changing authorization requirements for testing and procedures.
• Other duties and tasks assigned as appropriate or necessary.

Skills

Microsoft Office

HIPAA regulations

Medical insurances

Multi-line telephone system

Outside facilities

Confidentiality

Under pressure

Job description

Cardiac Solutions in Peoria, AZ is seeking an Insurance Authorization Specialist to verify benefits, obtain referrals, and secure required authorizations for office visits and procedures. You will work with a patient-centered team, coordinate with PCPs and insurers, and minimize delays and patient out-of-pocket costs while maintaining HIPAA compliance.

A knowledge of HIPAA, medical terminology, and Microsoft Office is required, with at least one year of eligibility/referral/authorization