Authorizations & Referrals Specialist, Patient Access, Full Time, Variable Shift
About The Position
Island Health is searching for an experienced Authorizations & Referrals Specialist for our Patient Access department at our hospital in Anacortes, WA. Work Schedule: 1.0 Full Time Variable Shift For Information on Employee Benefits Salary Ranges: $20.41 - $30.61 Why Choose Island Health? Whether you’re a new grad or experienced in your field and considering a change, we invite you to explore a wide range of careers at Island Health with exceptional benefits including: Medical, Vision, & Dental Insurance Paid Time Off Extended Illness Benefit Life Insurance Long-Term Disability Vested Retirement Contribution Flexible Spending Account Tuition Reimbursement Employee Assistance Program Employee Recognition Events And More!
Requirements
- High School diploma or GED required.
- Must maintain expectations outlined in work from home agreement.
Nice To Haves
- Additional education or training in ICD-10 Coding encouraged.
Responsibilities
- Completes referral and authorization processes with ICD-10 and CPT codes, pertinent documentation and Diagnostic information.
- Verifies active primary insurance coverage in electronic worklists
- Documents chart notes and confirmation of service in EMR.
- Facilitates routing and release of patient record and other information to Scheduler in order to assist the patient with their appointment.
- Discusses and clarifies insurance coverage and problems with referrals with patients.
- Verifies ordered services meet CMS Medical Necessity requirements
- Sends patients notes of approval/denial of referral or authorization when applicable.
- Work patient electronic worklists daily
- Works collaboratively with team to assure referrals are processed timely
- Keeps abreast of new insurance and payer information, contractual updates, or developments as provided.
- Must have demonstrated ability to interact positively with Administration, Director, Managers, Supervisors, peers, co-workers, subordinates, patients and visitors.
- Must meet regular attendance standard and must stay at or below average sick leave utilization levels.
- Employee will function at all times within guidelines established in the Island Hospital HIPAA Compliance Policy and Confidentiality agreements.
Benefits
- Medical, Vision, & Dental Insurance
- Paid Time Off
- Extended Illness Benefit
- Life Insurance
- Long-Term Disability
- Vested Retirement Contribution
- Flexible Spending Account
- Tuition Reimbursement
- Employee Assistance Program
- Employee Recognition Events
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
