Referral Authorization Coordinator

Deer Oaks - The Behavioral Health Solution•San Antonio, TX

11d

About The Position

The Referral Authorization Coordinator is responsible for processing all patient referrals for assigned cost centers. This role requires a high degree of accuracy in obtaining and verifying registration, demographic, and insurance information. The coordinator will perform eligibility checks, obtain authorizations, and follow procedures for proper authorization and processing of referral services. They will support clinicians and patients with synchronized authorizations and tests across different facilities, and communicate with facilities and clinicians to ensure follow-through with referrals. Strict confidentiality of health records and member information, in accordance with HIPAA guidelines, is essential. The role also involves completing administrative functions related to referral activities, monitoring referral reports, and maintaining amicable interactions with coworkers and customers. Additionally, the coordinator will perform various clerical tasks, ensure compliance standards are met, and achieve set metrics and goals.

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 insurance verification and prior authorizations preferred.

Responsibilities

Obtain and verify registration, demographic, and insurance information with a high degree of accuracy.
Perform eligibility checks on members via telephone or electronically.
Process all patient referrals for assigned cost centers.
Obtain authorizations and follow procedures for proper authorization and processing of referral services.
Support clinicians and patients in synchronized authorizations and tests taking place in different facilities.
Communicate with facilities and clinicians to ensure follow-through with referrals.
Ensure strict confidentiality of all health records and member information, following HIPAA guidelines.
Complete all administrative functions related to referral activities efficiently.
Monitor all referral reports not received and follow up in a timely manner.
Maintain amicable interactions with coworkers and customers, including referral sources, office staff, and clinicians.
Perform various clerical work, including faxing, scanning, and copying.
Ensure work meets internal and external compliance standards.
Meet daily, monthly, and quarterly metrics and goals set by the leadership team.
Perform other related duties as apparent and/or assigned.