Referral Authorization Specialist

Kaleida Health; Olean (MO); On-site; USD 33,000 - 45,000; Full time

Job summary

OGH Practice Management in Olean, NY is seeking a Referral Authorization Specialist to manage referrals for ancillary testing and provide top-tier service to referring physicians and patients. The role requires obtaining pre-authorization and supporting testing-related administration in a medical setting.

Must have a High School diploma and, for LPN applicants, completion of an accredited LPN program, plus a current PA LPN license and driver's license. Onsite work with a bi-weekly pay schedule.

Qualifications

• High School diploma or equivalent.
• Two years' experience in a medical office setting with experience working with billing and insurance.
• LPN applicants must have two years' experience in a physician office setting with experience working with billing and insurance.

Responsibilities

• Assures that referrals are managed for ancillary testing.
• Provides high-level customer service to referring physicians and referred patients.
• Obtains pre-authorization for all ancillary tests and performs additional administrative support functions.
• Maintains knowledge of insurance criteria and regulations for ancillary testing of carrier contracts/changes.

Skills

Medical office experience

Billing and insurance knowledge

Customer service

LPN license

Education

High School diploma or equivalent

LPN license program completion

Job description

Referral Authorization Specialist

Location: Olean General Hospital

Location of Job: US:NY:Olean

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 (LPN) program for LPN applicants. Current and valid driver’s 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.

Working Conditions: Job Details – Department: OGH Practice Management. Standard Hours Bi-Weekly: 0.00. Weekend/Holiday Requirement: No. On Call Required: No. With Rotation: No. Scheduled Work Hours: 8a-4p. Work Arrangement: Onsite. Union Code: N35 - Non Union OGH.

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. Requisition ID#: 17624. Recruiter: Erica R. Babcock. Grade: OLH2.