Clinical Referrals & Authorization Specialist

Shore Medical Center; Somers Point (NJ); On-site; USD 24,851 - 35,170; Full time

Benefits offered by this job

401(k)

401(k) matching

Life insurance

Paid time off

Referral incentive program

Local community employee discounts

Free Parking

Job summary

A regional healthcare provider based in Somers Point, NJ is in search of an Authorization/Referral Coordinator. This role involves processing referral requests, medication authorizations, and diagnostic imaging pre-certifications. The ideal candidate should have 2-4 years of medical office and medication authorization experience, along with solid knowledge of medical terminology and insurance guidelines. Strong multitasking and decision-making abilities in a fast-paced environment are essential for success in this position.

Qualifications

• 2-4 years of medical office experience required.
• 2-4 years of medication authorization experience is required.
• Ability to work under pressure in a fast-paced environment.

Responsibilities

• Process referral requests and medication authorizations.
• Communicate with payers, providers, and patients effectively.
• Track referrals to meet required timelines.

Skills

Medical terminology knowledge

Insurance guidelines knowledge

Multitasking ability

Decision-making skills

Teamwork promotion

Education

High School diploma or equivalent

Tools

Athena or EMR Experience

Computer Literacy

Job description

A regional healthcare provider based in Somers Point, NJ is in search of an Authorization/Referral Coordinator. This role involves processing referral requests, medication authorizations, and diagnostic imaging pre-certifications. The ideal candidate should have 2-4 years of medical office and medication authorization experience, along with solid knowledge of medical terminology and insurance guidelines. Strong multitasking and decision-making abilities in a fast-paced environment are essential for success in this position.