Referral Specialist/Ins Authorization 633937

Oklahoma State University•Tulsa, OK
•Onsite

About The Position

Responsible for obtaining necessary authorizations for office visits, surgeries, testing, and office procedures. Works with insurance companies to ensure proper documentation is submitted for review, confirms receipt of requests and records, and follows up to secure prior authorizations. Assists the surgery scheduler with scheduling surgeries, tests, and pre-operative appointments, including explaining preparations. Obtains deductible and copay information for surgeries, procedures, and office visits, and works with staff to ensure payments are collected or payment plans are arranged.

Requirements

  • High school diploma or GED, conferred on or before the agreed-upon start date.
  • At least 1 year of experience with insurance verification.
  • Good organizational, communication, and customer service skills.
  • Typing speed of 25 words per minute.
  • Computer experience.
  • Ability to work as a team member with coworkers.
  • Ability to think logically and determine the next step to pursue.
  • Ability to begin assignments without prompting, maintain productivity in quantity and quality, and plan and organize work to maximize departmental resource utilization.
  • Experience working in a medical clinic setting.
  • Working knowledge of CPT and ICD-10 codes.

Nice To Haves

  • EPIC EHR experience.

Responsibilities

  • Obtain authorizations for office visits, surgeries, testing, and office procedures.
  • Submit appropriate documentation to insurance companies for review and verify receipt of requests and records.
  • Follow up with insurance companies to ensure prior authorizations are received.
  • Assist the surgery scheduler with scheduling surgeries, tests, and pre-operative appointments, and explain preparations.
  • Obtain deductible and copay information for surgeries, procedures, and office visits.
  • Work with staff to ensure payments are collected or payment plans are arranged.
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