Referrals & Authorizations Specialist I Patient Care Specialist I
About The Position
The Patient Care Specialist I provides essential front-line administrative and clerical support within the medical office. This role is responsible for greeting and registering patients, verifying demographic and insurance information, collecting payments, and maintaining accurate documentation within the electronic health record (EHR). The Specialist I upholds patient confidentiality and follows all HIPAA, privacy, and compliance standards while working under close supervision to ensure a professional and efficient patient experience. The Insurance Referral Authorization Coordinator I will assure that all referrals are managed effectively and efficiently for all contracted insurances and organizations. It requires the obtaining of referrals utilizing the available tools and resources and effectively documenting and communicating to providers in a timely manner through the EMR system. 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 departmental policies and procedures.
Requirements
- Provides essential front-line administrative and clerical support within the medical office.
- Responsible for greeting and registering patients, verifying demographic and insurance information, collecting payments, and maintaining accurate documentation within the electronic health record (EHR).
- Upholds patient confidentiality and follows all HIPAA, privacy, and compliance standards while working under close supervision to ensure a professional and efficient patient experience.
- Assure that all referrals are managed effectively and efficiently for all contracted insurances and organizations.
- Requires the obtaining of referrals utilizing the available tools and resources and effectively documenting and communicating to providers in a timely manner through the EMR system.
- Requires the application and interpretation of policies and procedures and the use of independent judgment in a medical setting.
- Must possess the ability to maintain a working knowledge of departmental policies and procedures.
Responsibilities
- Greeting and registering patients
- Verifying demographic and insurance information
- Collecting payments
- Maintaining accurate documentation within the electronic health record (EHR)
- Upholding patient confidentiality and following all HIPAA, privacy, and compliance standards
- Managing referrals effectively and efficiently for all contracted insurances and organizations
- Obtaining referrals utilizing the available tools and resources
- Effectively documenting and communicating to providers in a timely manner through the EMR system
- Applying and interpreting policies and procedures
- Maintaining a working knowledge of departmental policies and procedures
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What This Job Offers
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
1-10 employees
