Authorization Specialist

SB Clinical Practice Management PlanLake Grove, NY
10d$20 - $26Onsite

About The Position

SUMMARY: To provide general administrative and clinical office support. Acts as a liaison between patients and physicians.

Requirements

  • High School diploma/GED.
  • One (1) year of administrative experience in a medical office setting.
  • Prior pre-authorization or obtaining referrals process experience.
  • Strong organizational and communication skills (both verbal and written).
  • Excellent typing skills and friendly telephone etiquette.
  • Microsoft Office proficiency.

Nice To Haves

  • EMR experience.
  • Experience with patient scheduling.
  • Experience with managed care companies.
  • Bilingual speaking.

Responsibilities

  • Access the referrals and authorizations via the internet.
  • Update and inquire as to those insurances that are not on the internet.
  • Obtain authorizations for CAT scans and other radiological procedures.
  • Validate patient insurance.
  • Contact patients concerning referrals or down payment for self pays.
  • Inform self pays of UH financial aid applications and Medicaid applications.
  • Communicate with physicians, NP/PA, colleagues, patients, and insurance carriers, concerning referrals or issues with obtaining referrals.
  • Ensuring the approvals for the authorizations are in the EMR and CERNER systems.
  • Ensure all data are accurately documented in the EMR and scanned into CERNER.
  • All other duties as assigned.
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