Medical Authorization & Referrals Specialist

SB CLINICAL PRACTICE MANAGEMENT PLAN INC; Stony Brook (NY); On-site; USD 28,000 - 35,000; Full time

Job summary

Stony Brook Clinical Practice Management Plan is seeking an Authorization Specialist for Stony Brook, NY. The role supports administrative and clinical office functions and acts as a liaison between patients and physicians.

The position requires high school level education, 1 year of medical office admin experience, and proficiency in Microsoft Office. Strong organizational, communication, typing skills and friendly phone etiquette are essential. Hours are Mon-Fri, 8am-5pm.

Qualifications

• High School diploma or GED required.
• At least 1 year of administrative experience in a medical office setting.
• Prior pre-authorization or referrals experience preferred.
• Strong organizational and communication skills (verbal and written).
• Excellent typing skills and friendly telephone etiquette.
• Proficiency with Microsoft Office.

Responsibilities

• Access referrals and authorizations via the internet.
• Update and inquire about insurances not on the internet.
• Obtain authorizations for CAT scans and other radiological procedures.
• Validate patient insurance.
• Contact patients regarding referrals or down payments for self pays.
• Inform self pays about financial aid and Medicaid applications.
• Communicate with physicians, NP/PA, colleagues, patients, and insurance carriers about referrals or issues obtaining referrals.
• Ensure authorizations are in the EMR and CERNER systems.
• Ensure all data are accurately documented in the EMR and scanned into CERNER.
• All other duties as assigned.

Skills

Strong organizational skills

Excellent verbal and written with

Typing skills

Friendly telephone etiquette

Education

High School diploma/GED

Tools

Microsoft Office

Job description

Stony Brook Clinical Practice Management Plan is seeking an Authorization Specialist for Stony Brook, NY. The role supports administrative and clinical office functions and acts as a liaison between patients and physicians.

The position requires high school level education, 1 year of medical office admin experience, and proficiency in Microsoft Office. Strong organizational, communication, typing skills and friendly phone etiquette are essential. Hours are Mon-Fri, 8am-5pm.