Referral Authorization Coordinator

Deer Oaks - The Behavioral Health Solution; San Antonio (TX); Hybrid; USD 38,000 - 52,000; Full time

Job summary

Deer Oaks - The Behavioral Health Solution is seeking a Referral Authorization Coordinator to support referrals, eligibility checks, and authorizations across facilities. You will verify patient information, coordinate with clinicians, and ensure HIPAA compliance.

The role demands attention to detail, proficiency with Microsoft Office, and the ability to multitask in a fast-paced environment. You will work both independently and with teams to meet daily and quarterly metrics.

Qualifications

• 2 years' experience as a Referral Authorization Coordinator, with insurance verification experience.
• Proficient in Microsoft Office, including Outlook, Word, and Excel.
• Demonstrates integrity and maintains confidentiality.
• Ability to adapt to changing needs and situations.
• High attention to detail and accuracy.
• Excellent written and verbal communication.
• Ability to multitask and meet deadlines in a fast-paced environment.
• High school diploma or equivalent; 2 years' related experience preferred.

Responsibilities

• Obtain and verify registration and insurance information.
• Perform eligibility checks by phone or electronically.
• Process referrals for assigned cost centers.
• Obtain authorizations and ensure proper processing.
• Support clinicians and patients with synchronized authorizations.
• Communicate with facilities and clinicians to ensure referrals.
• Maintain confidentiality and HIPAA compliance.
• Complete administrative functions related to referrals.
• Monitor referral reports not received and follow up.
• Interact with coworkers, referral sources, office staff, and clinicians.
• Handle faxing, scanning, and copying; ensure compliance.
• Meet daily, monthly, quarterly metrics.
• Perform other related duties as assigned.

Skills

Attention to detail

Communication

Integrity

Time management

Teamwork

Education

High School Diploma or equivalent

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Job Description

• Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.
• Performs eligibility checks on members as necessary by telephone or electronically.
• Responsible for processing of all patient referrals for assigned cost centers.
• Obtains authorizations, follows procedures for proper authorization and processing of all referral services.
• Supports clinicians and patients in synchronized authorizations and tests taking place in different facilities.
• Communicate with facilities and clinicians to ensure follow through with referrals.
• Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.
• Completes all administrative functions related to referral activities in an efficient manner.
• Responsible for monitoring all referral reports not received and follow up in a timely manner.
• Responsible for amicable interactions with coworkers and customers, including referral sources, office staff, and clinicians.
• Various clerical work, including faxing, scanning, and copying. Ensure the work being performed meets internal and external compliance standards.
• Meet daily, monthly, and quarterly metrics and goals the leadership team sets.
• Perform other related duties as apparent and/or assigned.

Qualifications

• 2 years' experience as a Referral Authorization Coordinator, experience with insurance verification & processes. Referral & Authorization experience is a plus.
• Proficient in Microsoft suite of products, including Outlook, Word, and Excel.
• Self-starter, able to display the highest level of integrity and respect for confidentiality.
• Ability to exercise practical judgment and sensitivity to changing needs and situations.
• High attention to detail and accuracy
• Must possess a strong sense of urgency and the ability to adapt to a changing environment.
• Excellent written and verbal communication skills. Support all communications with a high level of courtesy and professional acumen.
• Proven ability to work independently at times and within a team.
• Demonstrated ability to interact collaboratively with other departments and teams.
• Ability to multi-task, meet deadlines, and be able to succeed in a fast-paced work environment.
• Minimum High School Diploma or equivalent, 2 years' experience as a Referral Authorization Coordinator, experience performing insurance verification and prior authorizations preferred.