Medical Authorization Specialist - Referrals & Pre-Auth

SB Clinical Practice Management Plan

Stony Brook (NY)

Presencial

USD 28.000 - 35.000

Jornada completa

Hace 5 días
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Descripción de la vacante

Stony Brook Psychiatric Associates, UFPC in Stony Brook, NY is seeking an Authorization Specialist to support physicians and patients with referrals, authorizations, and insurance verification. This full-time, on-site role aligns with a Monday–Friday schedule and 8 AM–5 PM hours.

You will work with EMR and CERNER systems to obtain approvals for radiology procedures, verify coverage, and coordinate financial aspects. Strong organization and MS Office skills are essential to succeed.

Formación

  • High School diploma/GED.
  • One year of administrative experience in a medical office.
  • Prior pre-authorization or referrals process experience.
  • Strong organizational and communication skills (verbal and written).
  • Excellent typing skills and friendly telephone etiquette.
  • Microsoft Office proficiency.

Responsabilidades

  • Access the referrals and authorizations via the internet.
  • Update and inquire as to those insurances that are not on the internet.
  • Obtain authorizations for CAT scans and other radiological procedures.
  • Validate patient insurance.
  • Contact patients concerning referrals or down payment for self pays.
  • Inform self pays of UH financial aid applications and Medicaid applications.
  • Communicate with physicians, NP/PA, colleagues, patients, and insurance carriers, concerning referrals or issues with obtaining referrals.
  • Ensuring the approvals for the 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.

Conocimientos

Strong organizational skills
Excellent verbal and written com mun

Educación

High School diploma/GED

Herramientas

EMR experience
Scheduling software

Descripción del empleo

Stony Brook Psychiatric Associates, UFPC in Stony Brook, NY is seeking an Authorization Specialist to support physicians and patients with referrals, authorizations, and insurance verification. This full-time, on-site role aligns with a Monday–Friday schedule and 8 AM–5 PM hours.

You will work with EMR and CERNER systems to obtain approvals for radiology procedures, verify coverage, and coordinate financial aspects. Strong organization and MS Office skills are essential to succeed.

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