Patient Authorization & Referral Specialist

Trinity Health MI; Ann Arbor (MI); On-site; USD 38,000 - 46,000; Full time

Benefits offered by this job

Day-one benefits

Growth opportunities

Supportive team environment

Meaningful work

Mission-driven organization

Job summary

Trinity Health IHA Medical Group is seeking an Authorization Specialist to manage the authorization/pre-certification or referral process. This role focuses on obtaining authorizations, verifying codes and insurance details, and ensuring timely referrals align with patient treatment plans.

Excellent attention to detail and reliable communication are essential. Day-one benefits and a supportive team environment are highlighted by the employer, with opportunities for professional growth within a

Qualifications

• 1–2 years' experience with insurance referrals or prior authorization.
• Experience with referrals, pre-certification or related medical office tasks.

Responsibilities

• Contact insurance companies and obtain authorizations.
• Verifies correct procedural and diagnostic codes and insurance verification
• Performs data collection and data review as required
• Obtains urgent authorizations same day and next day.
• Communicates referral status to patients, staff and physicians; ensures that referrals have been processed accurately and in a timely manner to coincide with patient treatment plan.
• Maintain accurate documentation and patient records.

Education

High School Diploma

Job description

Trinity Health IHA Medical Group is seeking an Authorization Specialist to manage the authorization/pre-certification or referral process. This role focuses on obtaining authorizations, verifying codes and insurance details, and ensuring timely referrals align with patient treatment plans.

Excellent attention to detail and reliable communication are essential. Day-one benefits and a supportive team environment are highlighted by the employer, with opportunities for professional growth within a