Care Access Navigator II - Authorizations & Referrals

servcorphr; New York (NY); On-site; USD 34,000 - 46,000; Full time

Benefits offered by this job

Healthcare

Paid Time Off

Competitive benefits package

Job summary

61st Street Service Corporation, providing administrative and clinical support for ColumbiaDoctors in the Northeast, seeks an Authorization-Referrals Specialist II. You will ensure proper authorizations for specialty services and office visits, liaising between patients, referring and primary providers, and care teams.

Responsibilities include clearing authorizations, confirming insurance coverage, obtaining approvals, processing referrals, and supporting patient access while handling routine

Qualifications

• High school diploma or GED required.
• Experience in physician billing or third-party payer environment desired (minimum 1 year).
• Knowledge of contracts, insurance benefits, benefits exclusions and billing requirements is required.
• Familiarity with payer adjudication process and claim forms preferred.

Responsibilities

• Ensure patients have been authorized for specialty services and office visits.
• Resolve authorization concerns before patient appointments.
• Confirm insurance coverage status for patients.
• Obtain authorizations from insurance providers when needed.
• Process preauthorization forms for requested physician office or provider.
• Process patient referrals and link referrals to identified visits.
• Assist patients in obtaining appropriate physician, hospital, and medical referrals.
• Perform administrative duties including answering phones and greeting patients.
• Perform related duties as assigned.

Skills

Microsoft Word

Microsoft Excel

Outlook

Email

Education

High School Diploma or GED

Tools

Epic

Job description

61st Street Service Corporation, providing administrative and clinical support for ColumbiaDoctors in the Northeast, seeks an Authorization-Referrals Specialist II. You will ensure proper authorizations for specialty services and office visits, liaising between patients, referring and primary providers, and care teams.

Responsibilities include clearing authorizations, confirming insurance coverage, obtaining approvals, processing referrals, and supporting patient access while handling routine