Healthcare Referral & Authorization Specialist

The CORE Institute; Reno (NV); On-site; USD 42,000 - 60,000; Full time

Job summary

The CORE Institute is seeking a detail-oriented front desk/registration specialist in Reno, NV. You will verify patient information, obtain insurance benefits and authorizations, and attach referrals to visits.

Responsibilities include chart prep, data research, and processing referrals by fax while maintaining productivity and timely reimbursements. Strong communication with providers and patients is essential.

Qualifications

• Two to three years of experience in a healthcare environment in a referral, front desk, or billing role.
• Must communicate effectively with physicians, patients, and the public and build good working relationships with internal and external customers.

Responsibilities

• Verify and update patient registration information in the practice management system.
• Obtain benefit verification and necessary authorizations before patient arrival for ambulatory visits, procedures, injections, and radiology services.
• Use online verification systems and review real-time eligibility responses to ensure accuracy of insurance eligibility.
• Create referrals to attach to pending visits.
• Verify patient demographics and insurance eligibility including coordination of benefits; update as necessary.
• Complete chart prepping tasks daily to ensure smooth check-in.
• Research information needed to complete the registration process, including providers, ancillary services staff, and patients.
• Fax referral forms to providers for required referrals/authorizations; process 75–80 referrals daily.
• Review and notify front office staff of outstanding patient balances.
• Maintain satisfactory productivity rates and timely claims reimbursement while meeting queue goals.
• Respond to in-house provider and support staff questions regarding referrals, care coordination, or follow-up status.
• Identify trends or issues and communicate to management.
• Index referrals to patient accounts and create new accounts for non-established patients to index referrals.

Skills

Communication

Customer service

Multi-tasking

Detail orientation

Typing 45 wpm

Education

High school diploma/GED

Tools

Centricity PM

Centricity EMR

Job description

The CORE Institute is seeking a detail-oriented front desk/registration specialist in Reno, NV. You will verify patient information, obtain insurance benefits and authorizations, and attach referrals to visits.

Responsibilities include chart prep, data research, and processing referrals by fax while maintaining productivity and timely reimbursements. Strong communication with providers and patients is essential.