Referrals & Authorizations Specialist I

Millennium Physician Group • North Fort Myers, FL

5d

About The Position

The Insurance Referral Authorization Coordinator is responsible for effectively and efficiently managing all referrals for all contracted insurances and organizations. Gather pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Verifies insurance coverage and obtains required authorizations when necessary. This role will document referrals, communications, action and other data in an EMR system. Generates and distributes all applicable forms, notifications and paperwork. Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans.

Requirements

• Manage all referrals for all contracted insurances and organizations
• Gather pertinent information from patients, insurance carriers, financial counselors, and other staff
• Confirm the patient's financial obligations for services
• Verify insurance coverage
• Obtain required authorizations
• Document referrals, communications, action and other data in an EMR system
• Generate and distribute all applicable forms, notifications and paperwork

Responsibilities

• Process referral approval and authorizations for MPG PCPs
• Effectively and efficiently manage all referrals for all contracted insurances and organizations
• Gather pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services
• Verify insurance coverage and obtain required authorizations when necessary
• Document referrals, communications, action and other data in an EMR system
• Generate and distribute all applicable forms, notifications and paperwork

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed