Preauthorization & Referral Specialist

Beloit Health System; Beloit (WI); On-site; USD 36,000 - 48,000; Full time

Job summary

Beloit Health System is seeking a Preauthorization & Referral Assistant to join the Insurance & Billing team. This role focuses on obtaining preauthorizations, processing referrals, verifying benefits, and coordinating with providers, insurance companies, and patients to ensure timely access to care.

Responsibilities include tracking authorizations, handling referrals, verifying coverage, communicating with payers, and maintaining accurate EHR records.

Qualifications

• High School graduate or equivalent.
• Knowledge of medical terminology and familiarity with insurance processes.
• Experience in medical office operations or related field.

Responsibilities

• Obtain and track insurance preauthorizations for procedures and services.
• Process referrals accurately and timely.
• Verify patient insurance coverage and authorization requirements.
• Communicate with insurance companies about status and requests.
• Coordinate with providers and staff to gather records.
• Notify patients of status and requirements and ensure access to care.
• Maintain records in EHR and referral systems.
• Monitor expiration dates and obtain renewals as needed.
• Ensure HIPAA compliance and assist with billing issues.

Skills

Organizational skills

Verbal communication

Interpersonal relations

Initiative

Judgement

Medical terminology

Insurance experience

Medical Assistant experience

MS Word

MS Excel

Multitasking

Education

High School diploma

Tools

MS Word

MS Excel

Job description

Beloit Health System is seeking a Preauthorization & Referral Assistant to join the Insurance & Billing team. This role focuses on obtaining preauthorizations, processing referrals, verifying benefits, and coordinating with providers, insurance companies, and patients to ensure timely access to care.

Responsibilities include tracking authorizations, handling referrals, verifying coverage, communicating with payers, and maintaining accurate EHR records.