Outpatient Referral & Authorization Representative-6500
About The Position
We are seeking a dedicated individual to join our team and support our medical office with the accurate and timely processing of outpatient referrals and authorizations. This position is responsible for financially clearing all outpatient referrals as ordered by the referring provider. Financial clearing includes but not limited to, processing referral within provider EMR, verifying insurance eligibility and benefits, contacting patients to discuss coverage, obtaining authorization, when necessary, maintains statistical information regarding payers, communicating with providers and staff of denials, and documenting and scanning all communication into referral and EMR. Provides guidance as needed to the department and provider office representatives when required. Establish and maintain inter-departmental communication within the hospital and work closely with the Medical Office Coordinators in the respect of issues that arise effecting orders. Other duties as assigned.
Requirements
- High school diploma or equivalent or 2-5 yrs healthcare experience in lieu of education requirements
- Minimum of six months of progressive work experience
- Strong communication skills
- Ability to operate computer and software applications
- Attention to detail
- Ability to manage multiple priorities and tasks
Responsibilities
- Financially clearing all outpatient referrals as ordered by the referring provider.
- Processing referral within provider EMR.
- Verifying insurance eligibility and benefits.
- Contacting patients to discuss coverage.
- Obtaining authorization when necessary.
- Maintaining statistical information regarding payers.
- Communicating with providers and staff of denials.
- Documenting and scanning all communication into referral and EMR.
- Providing guidance as needed to the department and provider office representatives.
- Establishing and maintaining inter-departmental communication within the hospital.
- Working closely with the Medical Office Coordinators regarding issues that arise affecting orders.
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Employer Paid HSA for HDHP participants
- Robust Wellness and Employee Assistance Program
- Employer Paid Group Life
- Short & Long-Term Disability
- Generous Paid Leave Accruals and PTO
- Cash Out Opportunities
- 403b Retirement Plan with Employer Contributions
- Employee Recognition Programs
- Employee Discounts
- Employee Referral Bonus Program
- Employee Identity Theft Protection
- On-site daycare exclusive to our employees’ children of all ages
- On-site Wellness Center with fitness classes, personal training, indoor pool, racquetball, and basketball courts
- Tuition Reimbursement/Scholarships for full-time employees
- Public Service Loan Forgiveness program eligibility for employees with qualified student loans
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
