Referrals & Authorizations Specialist II

Millennium Physician Group • North Fort Myers, FL

5d

About The Position

The Insurance Referral Authorization Coordinator II is responsible for effectively and efficiently managing all referrals for all contracted insurance and organizations. The coordinator will process insurance preverification for office visits. Gather pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligation for services. Acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverage and obtains required authorizations when necessary. This role will document referrals, communications, actions, and other data in an information management system. Generates and distributes all applicable forms, notifications, and paperwork. Researches and resolves pre-certification, registration, and case-related issues. Documents referrals, communications, actions, and other data in an EMR system. Generates and distributes all applicable forms, notifications, and paperwork.

Requirements

• Handle referral authorizations for MPG PCPs in the state of Florida.

Responsibilities

• Manage all referrals for all contracted insurance and organizations.
• Process insurance preverification for office visits.
• Gather pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligation for services.
• Act as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals.
• Verify insurance coverage and obtain required authorizations when necessary.
• Document referrals, communications, actions, and other data in an information management system.
• Generate and distribute all applicable forms, notifications, and paperwork.
• Research and resolve pre-certification, registration, and case-related issues.
• Document referrals, communications, actions, and other data in an EMR system.

What This Job Offers

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