Referral Authorization Specialist- Transplant
About The Position
Assures that all referrals are managed effectively and efficiently. Provides high-level customer service to both referring physicians as well as referred patients. Obtains pre-authorization for all diagnostic tests and performs additional administrative support functions. This job requires the application and interpretation of policies and procedures and the use of independent judgment in a medical setting. The individual must possess the ability to maintain a working knowledge of carrier contracts/changes and departmental policies and procedures. Assures all referrals are handled effectively and efficiently. Analyzes information required to complete pre- authorizations with insurance carriers and service area contacts. Demonstrates the skills of effective communication decision-making and organization to ensure efficient job performance and job success. Provides high-level customer service to both referring physicians as well as referred patients. Assists with operational patient flow as applicable; performs problem-solving. Maintains current working knowledge; adheres to Medical Center and departmental policies and procedures. Provides service in a professional and courteous manner. Performs area-specific support activities. In addition to the above job responsibilities, other duties may be assigned.
Requirements
- High School graduate or equivalent required.
- 1 year relevant experience required.
Nice To Haves
- Associate’s or Bachelor’s Degree preferred.
Responsibilities
- Assures all referrals are handled effectively and efficiently.
- Analyzes information required to complete pre- authorizations with insurance carriers and service area contacts.
- Demonstrates the skills of effective communication decision-making and organization to ensure efficient job performance and job success.
- Provides high-level customer service to both referring physicians as well as referred patients.
- Assists with operational patient flow as applicable; performs problem-solving.
- Maintains current working knowledge; adheres to Medical Center and departmental policies and procedures.
- Provides service in a professional and courteous manner.
- Performs area-specific support activities.
Benefits
- Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
- Paid Time Off, Long-term and Short-term Disability, Retirement Savings
- Health Saving Plans, and Flexible Spending Accounts
- Certification and education support
- Generous Paid Time Off
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
