Referral Authorization Specialist

Kaleida Health; Bradford (PA); On-site; USD 33,000 - 45,000; Full time

Job summary

Olean General Hospital seeks an LPN for the BRMC Practice Management office in Bradford, PA. The role focuses on managing referrals for ancillary testing and ensuring smooth processing of pre-authorizations.

Responsibilities include high-level customer service to physicians and patients, plus performing administrative tasks. Requires PA LPN license and completion of an accredited LPN program. Onsite, full-time with bi-weekly pay schedule.

Qualifications

• High School diploma or equivalent required.
• Completion of an accredited Licensed Practical Nurse program for LPN applicants.
• Current PA LPN license; LPN applicants only.

Responsibilities

• Manage referrals for ancillary testing and ensure efficient processing.
• Provide high-level customer service to referring physicians and patients.
• Obtain pre-authorization for ancillary tests and perform administrative support tasks.

Skills

Customer service

Administrative support

Office software

Education

High School diploma or equivalent

LPN program completion

LPN license (PA)

Tools

Word processing

Personal computer

Job description

Location: Bradford Regional Medical Cntr. Location of Job: US:PA:Bradford. Work Type: Full-Time. Shift 1.

Job Description

Assures that all referrals are managed effectively and efficiently for ancillary testing. Provides high-level customer service to both referring physicians as well as referred patients. Obtains pre-authorization for all ancillary tests and performs additional administrative support functions. This job requires the application and interpretation of policies and procedures and the use of independent judgment in a medical setting. The individual must possess the ability to maintain a working knowledge of the insurance criteria and regulations as it pertains to ancillary testing of the carrier contracts/changes. This position can be reassigned to any location within OGH/BRMC offices as may be required to meet business needs.

Education And Credentials

High School diploma or equivalent. Completion of an accredited Licensed Practical Nurse program for LPN applicants. Current and valid drivers license. Current and valid Pennsylvania LPN license; LPN applicants only.

Experience

Two (2) years experience in a medical office setting with experience working with billing and insurance. LPN applicants must have two (2) years experience in a physician office setting with experience working with billing and insurance. : Visual and auditory acuity, manual dexterity, language and interpersonal skills. Knowledge of personal computer and word processing preferred.

Job Details

Department: BRMC Practice Management. Standard Hours Bi-Weekly: 75.00. Weekend/Holiday Requirement: No. On Call Required: No. With Rotation: No. Scheduled Work Hours: 8-5. Work Arrangement: Onsite. Union Code: N35 - Non Union OGH. Grade: OLH2. Pay Frequency: Bi-Weekly. Salary Range: $16.00 - $21.66.

• Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement.

Olean General Hospital’s mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and Olean General Hospital envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. Olean General Hospital is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!