Health Plan Referral & Authorization Specialist

CHRISTUS Health; Irving (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

Christus Health in Irving, TX is seeking a referral authorization specialist to process and expedite referrals within the Managed Care System. You will ensure form completion, verify eligibility, and document authorizations in the patient chart and computer system.

The role requires knowledge of medical terminology and CPT, strong typing skills, and excellent customer service. This is a full-time on-site position with standard 5 days, 8 hours per day.

Qualifications

• High School diploma or equivalent required.
• Associate's degree or higher in allied health field of study preferred.
• Working Knowledge of medical terminology and CPT background preferred.
• Good typing skills.
• Basic knowledge of computers.
• Excellent customer service skills.

Responsibilities

• Expedite the flow of authorization requests through the Managed Care System and prepare requests for authorization.
• Enter referral information into the computer system with correct codes (type, status, procedure, etc.).
• Facilitate documentation of authorizations in the computer system.
• Notify patients and providers of authorization decisions and track services.
• Print and distribute system reports to monitor referral activity for management reporting.
• Coordinate initiation of home health, DME, and diagnostics as directed by nursing/physician.

Skills

Customer service

Typing

Computers

Medical terminology

CPT background

Education

High School diploma or equivalent

Associate's degree or higher in allied health field

Job description

Christus Health in Irving, TX is seeking a referral authorization specialist to process and expedite referrals within the Managed Care System. You will ensure form completion, verify eligibility, and document authorizations in the patient chart and computer system.

The role requires knowledge of medical terminology and CPT, strong typing skills, and excellent customer service. This is a full-time on-site position with standard 5 days, 8 hours per day.