Referral Tech - Pre-Authorization MSD - FT - Day

Stormont Vail Health • Topeka, KS

3d • Hybrid

About The Position

The Referral Tech I is responsible for completing prior authorizations from referrals as ordered, and for scheduling tests, procedures and appointments.

Requirements

• High School Diploma / GED Required
• 1 year Registrar/referral experience.
• Works well with other team members.
• Detailed knowledge of EPIC.
• Maintains confidentiality.
• Uses critical thinking skills.
• Uses time efficiently.

Nice To Haves

• Experience using medical terminology.
• Basic Life Support - BLS

Responsibilities

• Complete prior authorizations from referrals using web sites, telephone interaction with insurance companies and other methods as needed.
• Manage referral work queues to ensure that referrals are completed in a timely and efficient manner.
• Detailed knowledge of EPIC to access requested information as needed for referrals, appointments, and prior authorization.
• Basic knowledge of health insurance requirements for prior authorization and form completion.
• Respond to office staff for scheduling and insurance issues and keeps office informed of any problems or delays with scheduling appointments or approval of Prior Authorization.
• Develop and maintain a working knowledge of EPIC and current guidelines to schedule appointments and procedures including, but not limited to: consultations with other healthcare providers, MRI, CT, stress testing, Holter monitor, Orthopedics, ultrasound, PFT, PET/CT, swallow studies, bone scans, glucose testing, x- ray, and other diagnostic studies and/or procedures.
• Knowledge of National Patient Safety Goals and uses as applicable; i.e., use two identifiers when working with patients.
• Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
• Performs other duties as assigned

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