Prior Authorizations Specialist - Cardiology
About The Position
Authorization Coordinators are responsible for obtaining authorizations on all testing appointments. Also responsible for obtaining Insurance Referrals. They are to check the schedules weekly to make sure no new appointments have been added. They contact outside referring offices for authorization information on testing appointments. They obtain authorizations onside referrals as well, example is CTA, CT, MRI, any outside scans Registers Patients if needed Collaborates and communicates with Cardiology teams to ensure continuity of medical care, to include obtaining, clarifying, validating referral requests. Assists with the creation of standard work for insurance authorizations. Responds to all requests (email, website, phone, other) and inquiries to best coordinate a patient’s appointment and needs. Contacts patients, families, medical providers and/or facilities to foster smooth transitions of care into the Practice. Reviews referring and transfer documents for accuracy and adherence to regulatory compliance and assuring the transitional care processes are implemented.
Requirements
- Minimum of 1 year as a medical receptionist or previous care coordination experience
- Direct customer service in the medical field
Responsibilities
- Obtaining authorizations on all testing appointments
- Obtaining Insurance Referrals
- Checking schedules weekly to ensure no new appointments have been added
- Contacting outside referring offices for authorization information on testing appointments
- Obtaining authorizations onside referrals (e.g., CTA, CT, MRI, any outside scans)
- Registering Patients if needed
- Collaborating and communicating with Cardiology teams to ensure continuity of medical care, including obtaining, clarifying, and validating referral requests
- Assisting with the creation of standard work for insurance authorizations
- Responding to all requests (email, website, phone, other) and inquiries to best coordinate a patient’s appointment and needs
- Contacting patients, families, medical providers, and/or facilities to foster smooth transitions of care into the Practice
- Reviewing referring and transfer documents for accuracy and adherence to regulatory compliance and assuring the transitional care processes are implemented
Benefits
- Competitive benefits program designed to ensure work/life balance
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
