Referral & Authorization Specialist

Faculty Physicians Inc.; Baltimore (MD); Vor Ort; USD 34.000 - 52.000; Vollzeit

Zusammenfassung

University of Maryland Faculty Physician's Inc. seeks a detail‑oriented Medical Office Clerk to manage referrals and preauthorization processes, supporting patients and providers in obtaining services.

Responsibilities include data entry, insurance coordination, and maintaining medical records with a focus on accuracy and compliance. Prior office experience and familiarity with billing systems are preferred.

Qualifikationen

• High school diploma or GED required.
• Two years related medical office experience.
• Knowledge of payer requirements for referrals and preauthorization.
• Knowledge of GE/IDX or similar billing system.
• Knowledge of ICD-10 and CPT coding.
• Medical terminology preferred.

Aufgaben

• Enter referrals into database and provide pre-admission counseling.
• Perform referral activities including pre-registering patients and collecting demographic/insurance data.
• Input and update patient demographic and financial data; track appointment compliance.
• Maintain patient medical records and process medical releases.
• Respond to patient inquiries regarding insurance coverage with strong customer service.
• Audit admission paperwork for accuracy and completeness; correct information in the system.
• Complete mandatory trainings to comply with HR and health requirements.

Kenntnisse

Customer service

Data entry

Preauthorization knowledge

Billing software

Medical terminology

Ausbildung

High school diploma or GED

Tools

GE/IDX billing system

Jobbeschreibung

University of Maryland Faculty Physician's Inc. seeks a detail‑oriented Medical Office Clerk to manage referrals and preauthorization processes, supporting patients and providers in obtaining services.

Responsibilities include data entry, insurance coordination, and maintaining medical records with a focus on accuracy and compliance. Prior office experience and familiarity with billing systems are preferred.