Referral & Authorization Specialist – Patient Access

Marinhealth; Novato (CA); Vor Ort; USD 31.000 - 47.000; Vollzeit

Zusammenfassung

The Referral and Authorizations Coordinator provides medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers. Serves as a resource to providers, clinic leaders, and the Patient Access Department regarding the referral and authorization process.

Day Shift (United States of America); 40 hours/week. The role requires HIPAA compliance and strong coordination with insurance payers and EHR systems.

Qualifikationen

• High school diploma or GED required.
• 2 years of experience working in a health care setting.
• 2 years of experience with insurance prior authorizations, referrals and working with electronic health records.
• Knowledge of medical terminology/CPT/HCPCS/ICD-9 coding.

Aufgaben

• Accurately processes referrals requests and obtains necessary authorizations in compliance with Referral Management Program.
• Collaborates with physician office staff to ensure timely handling and scheduling of referral appointments.
• Maintains positive relationships with payer representatives and coordinates with health plans and providers.
• Communicates with patients via secure messaging, telephone, or written correspondence throughout the referral process.

Kenntnisse

Active listening

Communication

Time management

Organizational skills

Ausbildung

High school diploma or GED

Tools

Epic

APeX

Excel

Word

Jobbeschreibung

The Referral and Authorizations Coordinator provides medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers. Serves as a resource to providers, clinic leaders, and the Patient Access Department regarding the referral and authorization process.

Day Shift (United States of America); 40 hours/week. The role requires HIPAA compliance and strong coordination with insurance payers and EHR systems.