Senior Referral & Prior Authorization Specialist

University of Rochester; City of Rochester (NY); Hybrid; USD 28,000 - 38,000; Full time

Job summary

The University of Rochester is seeking a dedicated referrals and appointment coordination specialist to support the URMC PM&R Ambulatory Admin department in Rochester, NY. You will manage referrals, obtain authorizations, communicate with patients and providers, and ensure accurate scheduling and documentation in the electronic health record system.

Strong organizational and customer-relations skills are essential.

Qualifications

• Minimum of a High School diploma or equivalent with 2 years of relevant experience required.
• Medical terminology knowledge and experience with surgical/appointment scheduling software and electronic medical records preferred.

Responsibilities

• Oversees data and ensures compliance to enterprise standards and referral guidelines.
• Communicates with patients, families, clinical and non-clinical staff, identifying barriers to appointment compliance, insurance company barriers and tracking all assistance provided.
• Plans, executes, appeals and follows through on all aspects of the process which has direct impact on patient scheduling, treatment, care and follow up.
• Adheres to approved protocols for working referrals and prior authorizations.
• Documentation of all communications pertaining to referrals and insurance authorization in the EMR referral module.

Skills

Customer relations skills

Education

High School diploma or equivalent

Tools

Epic

Job description

The University of Rochester is seeking a dedicated referrals and appointment coordination specialist to support the URMC PM&R Ambulatory Admin department in Rochester, NY. You will manage referrals, obtain authorizations, communicate with patients and providers, and ensure accurate scheduling and documentation in the electronic health record system.

Strong organizational and customer-relations skills are essential.