Referral & Authorization Specialist

Healthcare Outcomes Performance Co. (HOPCo); Phoenix (AZ); On-site; USD 38,000 - 52,000; Full time

Job summary

Healthcare Outcomes Performance Co. (HOPCo) in Phoenix seeks a detail-oriented healthcare registration specialist to verify patient demographics, insurance eligibility, and obtain required authorizations prior to services. You will prepare charts, coordinate with providers, and ensure clean claims submission.

You will collaborate with front desk, billing and clinical staff, stay current on payer requirements, and maintain EMR documentation while delivering courteous service.

Qualifications

• Two to three years of healthcare front desk or billing experience.
• Effective communication with physicians, patients, and staff.
• Experience with Centricity Practice Management or EMR is a plus.

Responsibilities

• Verify and update patient registration information in the practice management system.
• Obtain benefit verification and necessary authorizations before patient arrival for ambulatory visits, procedures, injections, and radiology services.
• Review real-time eligibility responses to ensure accuracy of insurance eligibility.
• Verify patient demographics and insurance eligibility including coordination of benefits for claims processing.
• Complete chart prepping tasks daily to ensure a smooth check-in for patient and clinic.
• Collaborate with clinical, registration, and billing staff to avoid delays and ensure clean claim submission.

Skills

Communication skills

Multitasking

Typing 45 wpm

Education

High school diploma/GED

Tools

Centricity Practice Management

Centricity EMR

Job description

Healthcare Outcomes Performance Co. (HOPCo) in Phoenix seeks a detail-oriented healthcare registration specialist to verify patient demographics, insurance eligibility, and obtain required authorizations prior to services. You will prepare charts, coordinate with providers, and ensure clean claims submission.

You will collaborate with front desk, billing and clinical staff, stay current on payer requirements, and maintain EMR documentation while delivering courteous service.