Prior Authorization & Referrals Specialist

Memorial Healthcare System; Florida; Presencial; USD 42 000 - 65 000; Tempo integral

Resumo da oferta

Memorial Healthcare System in Hollywood, FL is seeking a Referrals and Authorizations Coordinator to secure prior authorizations and primary care referrals for inpatient and outpatient services, including surgeries and procedures. The role supports timely access to care, payer compliance, and accurate reimbursement.

Qualifications include a high school diploma, two years in medical practice, and familiarity with EMR and billing systems. Strong communication and organization are essential.

Qualificações

• Knowledge of medical terminology and insurance authorization processes.
• Familiarity with payer portals, EMR systems, and healthcare billing systems.
• Strong interpersonal and communication skills with attention to detail.
• Ability to manage multiple tasks in a fast-paced environment.

Responsabilidades

• Schedules appointment times using computerized scheduling programs.
• Communicates with physicians and other healthcare team members to ensure facility and staff availability.

Conhecimentos

Accountability

Customer service

Effective communication

Hand hygiene

Organization skills

Patient and family centered care

Patient scheduling

Problem solving

Responding to change

Standards of behavior

Team work

Formação académica

High School Diploma or Equivalent

Associate’s degree (preferred)

Ferramentas

Payer portals

EMR systems

Healthcare billing systems

Descrição da oferta de emprego

Memorial Healthcare System in Hollywood, FL is seeking a Referrals and Authorizations Coordinator to secure prior authorizations and primary care referrals for inpatient and outpatient services, including surgeries and procedures. The role supports timely access to care, payer compliance, and accurate reimbursement.

Qualifications include a high school diploma, two years in medical practice, and familiarity with EMR and billing systems. Strong communication and organization are essential.