Authorization / Referral Coordinator

BASS MEDICAL GROUP • Walnut Creek, CA

37d • $24 - $32

About The Position

The Authorization / Referral Coordinator is an integral part of the team at the BASS Cancer Center. This position will work closely with referring physician offices, patients, front office, billing team, Medical Director, and the Director of the Cancer Center to ensure patient authorizations and referrals are handled in an efficient and timely manner.

Requirements

• 2 years’ experience in the medical field
• 2 years’ experience with insurance authorizations
• Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
• Excellent computer proficiency (MS Office – Word, Excel, and Outlook)
• Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service
• Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices.
• Successfully complete EPIC and Mosaiq EHR training
• High school diploma or GED

Responsibilities

• Responsible for Authorization procedures with patient’s insurance company.
• Responsible for verifying Insurance for eligibility and benefits.
• Communicates with patients and other departments regarding coverage and liability.
• Runs daily reports to monitor and obtain authorizations and/or referrals required by the insurance carrier.
• Enter completed notes in the system for front office and billing.
• Strong collaboration with billing department
• Answer incoming telephone calls.
• Confirm patient appointments.
• Prepare paperwork for next day patients.
• Communicate with front office on patient owed fees.
• Prepare benefit worksheets for all upcoming appointments.
• Financial counseling of patients.
• Assist patients with financial assistance programs
• Transfer calls to billing when appropriate
• Assist patients as needed with their paperwork.
• Attend Staff meetings on a monthly and/or quarterly basis outside of office hours.
• Process payments
• Coordinate with benefit advocate as needed on new patient benefit issues/questions.
• Ensure up-to-date documentation on patient accounts for follow-up or ongoing transactions.
• Follows policy and procedures outlined by management to ensure standardization of processes.
• Documents insurance issues
• Trains new/current employees on EHR system and policies and procedures.
• Perform other related duties as required.

Benefits

• Medical through Anthem Blue Cross PPO, Low-Cost Dental and Vision, Medical FSA & HSA.
• Basic Life & AD&D Insurance, Long Term Disability, 401K plan with an employer contribution, Access to Financial Advisors, Identity Theft Program.
• Paid Time Off and Company Paid holidays, Life Assistance Program, Commuter & Parking Benefits, Secure Travel Services, Healthy Rewards Program, Will Preparation Program, Additional perks to include discounts for Cellular phone and Gym memberships.
• Optional Life & AD&D Insurance, Aflac Supplemental Insurance, Pet Insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees