Ancillary Referral and Authorization Coordinator
Ancillary Referral and Authorization Coordinator
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Salary Not Disclosed
1 Vacancy
Job Description
Established in 2001 Southeast Orthopedic Specialists is a regional leader in orthopedic medicine. We are dedicated to growing with our patients. Our reach will continue to expand to meet the needs of all patients present and future. It is our wish to make industryleading fivestar orthopedic care accessible to as many people as possible.
The Referral and Authorization Coordinatorisresponsible for completing the preregistration registration eligibility verification verification of benefits and precertification/documentation processes which involves communicating with patients primary care physician offices and insurance companies to ensure that all appropriate demographic and reimbursement information is accurate to prior to the patients scheduled appointment.
Essential Functions
- Obtains benefit verification and necessary authorizations (referrals precertification) prior to patient arrival for all ambulatory visits procedures injections and radiology services.
- Uses online webbased verification systems and reviews realtime eligibility responses to ensure accuracy of insurance eligibility.
- Creates appropriate referrals to attach to pending visits.
- Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
- Completes chart prepping tasks daily to ensure smooth checkin process for the patient and clinic.
- Fax referral form to providers that do not require any records to be sent.
- Be able to process 7580 referrals on a daily basis. For primary specialty office visits fax referral/authorization form to PCPs and insurance companies in a timely fashion.
- Respond to Inhouse provider and support staff questions requests and concerns regarding the status of patient referrals care coordination or followup status.
At Southeast Orthopedic Specialists we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:
- Competitive Health & Welfare Benefits
- Monthly stipend to use toward ancillary benefits
- HSA with qualifying HDHP plans with company match
- 401k plan after 6 months of service with company match (Parttime employees included)
- Employee Assistance Program that is available 24/7 to provide support
- Employee Appreciation Days
- Employee Wellness Events
Qualifications
- High school diploma/GED or equivalent working knowledge preferred.
- Minimum two to three years of experience in a healthcare environment in a referral front desk or billing role.
- Must be able to communicate effectively with physicians patients and the public and be capable of establishing good working relationships with both internal and external customers.
- Must have Healthcare experience with Managed Care Insurances requesting Referrals Authorizations for Insurances and verifying Insurance benefits.
- Indepth knowledge on insurance plan requirements for Medicaid and commercial plans.
#SOS
Required Experience:
IC
Employment Type
Full-Time
