Prior Authorizations Specialist -Cardiology

Hartford HealthCare; Fairfield (CT); On-site; USD 48,000 - 65,000; Full time

Job summary

Hartford HealthCare in Connecticut seeks an Authorization Coordinator to obtain authorizations for testing appointments and referrals. You will monitor weekly schedules and contact outside referring offices for authorization information.

You will register patients as needed, collaborate with Cardiology teams to ensure continuity of care, assist with standard work for authorizations, respond to inquiries, and help coordinate patient appointments while ensuring regulatory compliance.

Qualifications

• Minimum of 1 year as a medical receptionist or previous care coordination experience.
• Direct customer service in the medical field.

Responsibilities

• Registers patients if needed.
• Collaborates and communicates with Cardiology teams to ensure continuity of medical care, to include obtaining, clarifying, validating referral requests.
• Assists with the creation of standard work for insurance authorizations.
• Responds to all requests (email, website, phone, other) and inquiries to best coordinate a patient’s appointment and needs.
• Contacts patients, families, medical providers and/or facilities to foster smooth transitions of care into the Practice.
• Reviews referring and transfer documents for accuracy and adherence to regulatory compliance and assuring the transitional care processes are implemented.

Skills

Customer service

Medical receptionist experience

Job description

Location Detail: 425 Post Road Fairfield (10230)

Shift Detail: Mon-Fri

Work where every moment matters.

Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.

Hartford HealthCare Medical Group is one of the largest medical practices in New England with multiple locations throughout Connecticut and Rhode Island. We consist of a team of professionals ranging from Medical Assistants to Physician Assistants and everything in between. Our physician led medical group enjoys an excellent reputation with patients and the medical community, offering primary care, urgent care and more than 30 different specialties.

Job Summary

Authorization Coordinators are responsible for obtaining authorizations on all testing appointments. Also responsible for obtaining Insurance Referrals. They are to check the schedules weekly to make sure no new appointments have been added. They contact outside referring offices for authorization information on testing appointments. They obtain authorizations onside referrals as well, example is CTA, CT, MRI, any outside scans

• Registers Patients if needed
• Collaborates and communicates with Cardiology teams to ensure continuity of medical care, to include obtaining, clarifying, validating referral requests.
• Assists with the creation of standard work for insurance authorizations.
• Responds to all requests (email, website, phone, other) and inquiries to best coordinate a patient’s appointment and needs.
• Contacts patients, families, medical providers and/or facilities to foster smooth transitions of care into the Practice.
• Reviews referring and transfer documents for accuracy and adherence to regulatory compliance and assuring the transitional care processes are implemented.

Qualifications

• Minimum of 1 year as a medical receptionist or previous care coordination experience
• Direct customer service in the medical field

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.