Referral Specialist/Ins Authorization 633937

Oklahoma State University•Tulsa, OK
•$17 - $19

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 sent for review, makes follow-up calls to verify receipt of requests and records, and follows up to ensure prior authorizations are received. Assists the surgery scheduler with scheduling surgeries, tests, and pre-operative appointments and explaining preparations. Obtains deductible and copay information for surgeries, procedures, and office visits. Works with staff to ensure these amounts 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 and computer experience.
  • Ability to work as a team member with coworkers.
  • Ability to think logically and determine appropriate next steps.
  • Ability to begin assignments without prompting, maintain quantity and quality of work, and plan and organize work to maximize departmental resource utilization.
  • Working knowledge of CPT and ICD-10 codes.
  • Ability to lift and carry up to 20 pounds; stoop, reach, stand, walk, finger, grasp, feel, talk, hear, see, and perform repetitive motions, with or without reasonable accommodations.

Nice To Haves

  • EPIC EHR experience.
  • Experience working in a medical clinic setting.

Responsibilities

  • Obtain authorizations for office visits, surgeries, testing, and office procedures.
  • Send required documentation to insurance companies for review and follow up to confirm receipt of requests and records and obtain prior authorizations.
  • 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.
  • Coordinate with staff to ensure patient amounts are collected or payment plans are arranged.
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