Referral Authorization Coordinator

Deer Oaks•San Antonio, TX

1d•Onsite

About The Position

As a member of the revenue cycle team, the Referral Authorization Coordinator will work with various stakeholders to assist with the execution and finalization of referrals and authorizations. This role involves ensuring accuracy in patient information, processing referrals, obtaining authorizations, and supporting clinicians and patients throughout the referral process. The coordinator is also responsible for administrative tasks, monitoring reports, and maintaining confidentiality.

Requirements

2 years' experience as a Referral Authorization Coordinator
Experience with insurance verification & processes
Proficient in Microsoft suite of products, including Outlook, Word, and Excel
Self-starter, able to display the highest level of integrity and respect for confidentiality
Ability to exercise practical judgment and sensitivity to changing needs and situations
High attention to detail and accuracy
Must possess a strong sense of urgency and the ability to adapt to a changing environment
Excellent written and verbal communication skills
Support all communications with a high level of courtesy and professional acumen
Proven ability to work independently at times and within a team
Demonstrated ability to interact collaboratively with other departments and teams
Ability to multi-task, meet deadlines, and be able to succeed in a fast-paced work environment
Minimum High School Diploma or equivalent

Nice To Haves

Referral & Authorization experience is a plus
Experience performing prior authorizations preferred

Responsibilities

Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date
Performs eligibility checks on members as necessary by telephone or electronically
Responsible for processing of all patient referrals for assigned cost centers
Obtains authorizations, follows procedures for proper authorization and processing of all referral services
Supports clinicians and patients in synchronized authorizations and tests taking place in different facilities
Communicate with facilities and clinicians to ensure follow through with referrals
Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines
Completes all administrative functions related to referral activities in an efficient manner
Responsible for monitoring all referral reports not received and follow up in a timely manner
Responsible for amicable interactions with coworkers and customers, including referral sources, office staff, and clinicians
Various clerical work, including faxing, scanning, and copying
Ensure the work being performed meets internal and external compliance standards
Meet daily, monthly, and quarterly metrics and goals the leadership team sets
Perform other related duties as apparent and/or assigned