Referral Specialist (Full-time, Days)
Rochester Regional Health
•Onsite
About The Position
The Authorization & Scheduling Coordinator is responsible for scheduling and obtaining insurance authorizations/pre-certifications for MRI, CT, Neurology, Pain Management, and other specialized testing, as well as referrals to physician specialists. This role ensures all patient and third-party interactions are accurately documented in the electronic medical record (EMR) system while promoting excellent customer service and appropriate patient care coordination.
Requirements
- High school diploma or GED required
Nice To Haves
- Associate degree (AAS) in a related field preferred
- Previous medical office or healthcare scheduling experience preferred
- Proficiency in Microsoft Word and Excel
- Familiarity with EMR systems and healthcare documentation practices preferred
- Orthopedic terminology highly preferred
- Experience obtaining insurance authorizations and pre-certifications preferred
Responsibilities
- Greet and assist patients in person and over the phone with a positive and helpful attitude
- Coordinate diagnostic testing and referrals between physicians, patients, facilities, and insurance payers
- Review medical documentation for accuracy and completeness prior to scheduling and authorization
- Obtain procedure and diagnosis codes necessary for insurance authorization and pre-certification
- Complete insurance authorization/pre-certification requests and submit required supporting documentation
- Document authorization details, including approval information and insurance contact details, within the EMR
- Notify patients of scheduled appointments, procedures, preparation instructions, and arrival times
- Coordinate scheduling details with hospitals and testing facilities
- Assist with reviewing and updating scheduling-related policies and procedures
- Maintain working knowledge of office equipment including telephones, computers, printers, copiers, and fax machines
- Support operational efficiency by performing additional administrative duties as needed
- Ensure patient interactions are age-appropriate and culturally sensitive
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
