Referral & Authorization Specialist: Healthcare Access & Scheduling

Asante

Medford (OR)

On-site

USD 29,000 - 39,000

Full time

3 days ago
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Benefits offered by this job

Competitive Pay
Health & Wellness benefits
Retirement savings plan
Paid Time Off
Professional development assistance
Life insurance
Disability coverage
Employee assistance program

Job summary

Asante in Medford, Oregon is seeking a Referral and Authorization Specialist to manage referrals, secure pre-authorizations, and coordinate scheduling for patients across care teams. The role emphasizes accurate data entry, payer communication, and resolving authorization issues to support timely access to services.

The ideal candidate has healthcare insurance and scheduling experience, knowledge of payer requirements, and a focus on efficiency and patient care.

Qualifications

  • Minimum of 2 years of healthcare-related insurance, scheduling, front desk, or comparable experience.
  • CHAA: Certified Healthcare Access Associate is preferred.

Responsibilities

  • Process referrals from assigned area of specialty and secure pre-authorizations as needed.
  • Coordinate scheduling of care based on clinical protocols and send confirmations to patients.
  • Verify patient demographics and insurance information accompanying referrals.
  • Obtain and document pre-authorizations from third-party payers and track validity.
  • Gather additional medical records to support preauthorization and medical necessity.
  • Notify therapists of issues with referrals or insurance coverage.
  • Inform patients about authorization status and alternative payment options.

Skills

Healthcare scheduling
Insurance knowledge
CHAA certification (preferred)

Education

Associate Degree in business or healthcare related field

Job description

Asante in Medford, Oregon is seeking a Referral and Authorization Specialist to manage referrals, secure pre-authorizations, and coordinate scheduling for patients across care teams. The role emphasizes accurate data entry, payer communication, and resolving authorization issues to support timely access to services.

The ideal candidate has healthcare insurance and scheduling experience, knowledge of payer requirements, and a focus on efficiency and patient care.

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