Prior Authorization & Referral Specialist

Panorama LASIK; Fort Collins (CO); Sur place; USD 28 000 - 31 000; Plein temps

Avantages offerts par ce poste

PTO Accruals Start at 3 Weeks

Comprehensive Medical and Dental 보험

Company-Paid Optical Allowance

Company-Paid Routine Eye Care

Short-Term and Long-Term Disability

Educational Allowance

Paid Holiday Program

401K with Company Match

Résumé du poste

Panorama Eyecare in Fort Collins, CO is seeking an Authorization and Referral Coordinator to secure authorizations and referrals prior to service dates, coordinating with providers, payers, and patients to minimize denials and ensure a seamless patient experience.

You will document activities in the EHR, collaborate with scheduling, clinical, and billing teams, and educate patients on insurance processes while maintaining HIPAA compliance and privacy.

Qualifications

• Knowledge of Medicaid, Medicare and commercial payer policies.
• Proficiency with CPT/ICD-10/HCPCS codes and payer portals.
• Experience with navigating HIPAA and patient data privacy.

Responsabilités

• Verify need for prior authorization for procedures, tests, and services.
• Submit and track authorization requests with complete documentation.
• Notify patients, providers, and scheduling staff of outcomes.
• Confirm and obtain referrals from PCPs or specialists.
• Document all authorization/referral activities in the EHR and generate reports.
• Collaborate with scheduling, billing, and clinical teams to prevent delays.
• Assist billing to resolve denials due to missing authorizations or referrals.

Connaissances

Insurance knowledge

Communication

Problem solving

Attention to detail

EHR proficiency

Formation

High school diploma

Associate’s degree preferred

Medical billing/coding certification preferred

Outils

NextGen

Practice management systems

Description du poste

Panorama Eyecare in Fort Collins, CO is seeking an Authorization and Referral Coordinator to secure authorizations and referrals prior to service dates, coordinating with providers, payers, and patients to minimize denials and ensure a seamless patient experience.

You will document activities in the EHR, collaborate with scheduling, clinical, and billing teams, and educate patients on insurance processes while maintaining HIPAA compliance and privacy.