Referral and Medical Auth Coordinator/Riverside/Grant/Dublin/Doctors/Pickerington

OhioHealth

97d

About The Position

This position is responsible for processing referral requests for all providers practicing within the clinic module and ensuring that when needed, referral/authorization numbers are obtained for these services. Access to specialty and ancillary testing services is a key component for the treatment of our patients and the satisfaction of our referring providers. The responsibilities of this position are extremely important in meeting or exceeding customer satisfaction.

Requirements

• High School or GED (Required)
• Excellent customer service and organizational skills.
• Ability to communicate effectively, both written and orally.
• Strong typing and computer skills with the ability to multi-task in a fast-paced environment.
• Working knowledge of ICD-9 and CPT-4 classification systems, Anatomy & Physiology, Medical Terminology, inpatient and outpatient services.
• 1-2 years working knowledge while obtaining referral, medical authorizations in a healthcare facility interacting regularly with insurance representatives, physician office or patient via telephone.
• Minimum of 2 years Experience in a physician office with extensive patient registration, front desk and insurance Experience and knowledge required.
• One year Experience with third party payors required.
• Computer Experience required.

Responsibilities

• Search electronic medical records to obtain the required clinical information needed for medical authorization. Provides all necessary information medical records, scripts, etc. to payer.
• Reviews, Obtains & Processes all diagnostic/specialty/miscellaneous referral and authorization requests for both provider and facility.
• Handles calls from internal and external sources where prioritization and time sensitive action is required.
• Communicates with all involved, payer, provider, patient as appropriate and as per protocol. Provides a standard of excellence as it relates to customer service and satisfaction for all customers.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees