Referral Specialist/Ins Authorization

Oklahoma-State-University; Oklahoma; On-site; USD 23,000 - 26,000; Full time

Job summary

Oklahoma State University’s OSU Center for Health Sciences seeks an Insurance Verification Specialist. You will obtain authorizations for visits, surgeries, and tests, verify insurance coverage, and follow up with payers.

The role involves assisting schedulers, obtaining deductible and copay details, and coordinating with staff to secure timely payments. Requirements include a High School/GED and 1+ year experience with insurance verification; EPIC EHR experience is a plus.

Qualifications

• Good organizational and communication skills.
• Typing speed 25 wpm and computer proficiency.
• EPIC EHR experience is a plus.
• Team player with ability to plan and prioritize work.
• Knowledge of CPT & ICD-10 codes is preferred.

Responsibilities

• Obtain necessary authorizations for office visits, surgeries, testing, and procedures.
• Verify insurance information and follow up on requests with payers.
• Assist surgery scheduler with scheduling and pre-op appointments.
• Collect deductible and copay information and arrange payment plans.

Education

High School/GED (degree conferred on or before start date)

Job description

Campus

OSU-Center for Health Sciences

Contact Name & Email

Jeffery Kellerman, [e-mail]

Work Schedule

Monday through Friday, 8:00am-5:00pm

Appointment Length

Regular Continuous/Until Further Notice

Hiring Range

$17.00-$19.13,Hourly

Priority Application Date

While applications will be accepted until a successful candidate has been hired, interested parties are encouraged to submit their materials by to ensure full consideration.

Special Instructions to Applicants

For full consideration, please include a resume, cover letter and contact information for three professional references.

About this Position

Responsible for obtaining necessary authorizations for office visits, surgeries, testing, and office procedures. Working with insurance companies to ensure that the proper documentation is sent to the insurance company for review, makes follow up calls to insurance companies to verify receipt of sent requests/records and follow-up to ensure prior authorization are received. Assist the surgery scheduler to schedule surgeries, tests, and pre-op appointments, explaining preparations. Obtain deductible and copay information for surgeries. procedures and office visits. Work with staff to ensure that all are collected, or payment plans are arranged.

Required Qualifications

• High School/GED (degree must be conferred on or before agreed upon start date)
• 1+ years' experience with insurance verification.

Skills, Proficiencies, and/or Knowledge:

Good organizational skills, effective communication, and customer service skills, typing skills of 25 wpm, and computer experience essential. EPIC EHR experience a plus. Must be able to work as a team member with coworkers. Ability to logically think and determine the next step to pursue. Begin assignments without prompting, maintain productivity in both quantity and quality of work, and appropriately plan and organize work to maximize the resource utilization of the department. Experience working in a medical clinic setting and working knowledge of CPT & ICD-10 Codes

Environmental Hazards:

Possible exposure to hazardous material, hot and cold, blood borne pathogens.

Physical Requirements:

Ability to lift and carry up to 20 pounds, stoop, reach, stand, walk, finger, grasp, feel, talk, hear, see, and perform repetitive motions with or without reasonable accommodations.