Referral & Eligibility Data Clerk

Universal Health Services; Eastvale (CA); On-site; USD 25,000 - 33,000; Full time

Benefits offered by this job

Challenging environment

Growth opportunities within UHS family

Competitive compensation

Job summary

Riverside Medical Clinic, a Universal Health Services subsidiary, seeks an Authorization Clerk to verify patient benefits, process referrals, and handle related inquiries. You'll input data, manage referrals, and ensure timely processing in a multi-specialty medical setting.

The role emphasizes accuracy, timely communication with providers and payors, and maintaining up-to-date insurance information in the system.

Qualifications

• High school diploma or GED required.
• One to three months related experience and/or training.
• Certificates, licenses, and registrations: None.

Responsibilities

• Review and submit authorization requests to health plan portals within internal deadlines.
• Answer phone calls regarding referral inquiries.
• Monitor messages sent to and from provider offices promptly.
• Verify patient benefits and eligibility before authorizing services or supplies.
• Update insurance records as necessary.
• Notify about system malfunctions and required benefit file updates to maintain accuracy.
• Update authorizations in the system to ensure timely turnaround and compliance.

Education

High school diploma or GED

Job description

Riverside Medical Clinic, a Universal Health Services subsidiary, seeks an Authorization Clerk to verify patient benefits, process referrals, and handle related inquiries. You'll input data, manage referrals, and ensure timely processing in a multi-specialty medical setting.

The role emphasizes accuracy, timely communication with providers and payors, and maintaining up-to-date insurance information in the system.