Referral & Authorization Specialist

CHRISTUS Health; Corpus Christi (TX); On-site; USD 42,000 - 56,000; Full time

Job summary

CHRISTUS Health in Corpus Christi, TX is seeking a Referral Coordinator to manage the full referral process for a 35-physician practice. You will obtain orders from physicians, secure insurance authorizations, and schedule patient appointments with physicians who accept the insurance.

You will correct problematic referrals, ensure CPT/ICD-9 coding accuracy, and stay up to date with insurance plans to enable proper payments.

Qualifications

• Must have clinical background knowledge to support referral communications with insurance companies.
• Knowledge of CPT and ICD-9 coding to process proper referrals.
• Familiarity with various insurance plans and coverage for proper payment.

Responsibilities

• Coordinate the referral process from physician order to authorization and scheduling.
• Research problem referral claims or payment requests and correct them.
• Educate nursing associates and physicians on changes in insurance plans for referrals and authorizations.

Skills

Clinical background knowledge

Education

High School Diploma or equivalent

Job description

CHRISTUS Health in Corpus Christi, TX is seeking a Referral Coordinator to manage the full referral process for a 35-physician practice. You will obtain orders from physicians, secure insurance authorizations, and schedule patient appointments with physicians who accept the insurance.

You will correct problematic referrals, ensure CPT/ICD-9 coding accuracy, and stay up to date with insurance plans to enable proper payments.