Patient Access Referral Authorization Specialist - Admitting (Full-Time, Days)
Patient Access Referral Authorization Specialist - Admitting (Full-Time, Days)
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Job Description
Compensation range:
$21.28 - $28.73Your rate of pay will be based on applicable experience
Shift: DayShift length: 8-Hours
Days off: Saturday & Sunday
Hours per pay period: 80
POSITION SUMMARY:
The Patient Access Referral Authorization Specialist will accurately collect and analyze all required demographic insurance financial and clinical data elements necessary to secure reimbursement for the organization and to promote the patient experience. The Specialist is responsible for obtaining authorizations as required by the individual insurance company. The incumbent is responsible to accurately enter notes and scan documentation regarding correspondence from insurance companies in reference to insurance authorization or other notifications. The Patient Access Referral Authorization Specialist communicates and collaborates with hospital staff and Provider offices for scheduled visits. The Specialist completes all required duties in a timely fashion on a daily weekly or monthly basis per the direction of policy and leadership. The Specialist is responsible for routine patient access registration and referral activity to facilitate efficient operations expeditious reimbursement and optimal consumer satisfaction and to promote teamwork. The Specialist is responsible to further the mission of Enloe Medical Center. The Specialist is responsible to consistently demonstrate the core values of Enloe Medical Center. They are responsible to perform their duties in accordance with regulatory compliance requirements and the Medical Centers Code of Conduct.
EDUCATION / TRAINING / EXPERIENCE:
Minimum:
- Two years of related experience in a medical office clinic hospital or other healthcare environment
(insurance authorizations and referral process).
- Proficient skills in Word Excel PowerPoint Outlook
Desired:
- One year of experience applying knowledge of Medicare Medicaid and Managed Care reimburse-
ment guidelines
- Knowledge of Medical Terminology
- Professional knowledge of Health Insurance
- Professional knowledge of obtaining insurance authorizations insurance benefits referrals.
- Knowledge of current CPT procedure codes HCPCS and ICD diagnosis coding.
- Excellent organizational data entry and technology skills
SKILLS / KNOWLEDGE / ABILITIES:
Must have excellent customer and communication skills ability to work independently. Must be able to follow instructions learn the work routines associated with patient access referral and authorization workflows; work quickly and accurately in a fast-paced environment; must have good customer service and time management skills. Capable of using Microsoft Word Excel Outlook (Microsoft Office Suite) computer skills and general office equipment. Must possess an ability to work with high degree of precision paying attention to detail to achieve the high accuracy levels required and timely follow-up and close-out of all matters. Must be able to fulfill the essential functions of the position.
Benefits Information
Enloe offers a comprehensive and competitive benefits package to all eligible employees including but not limited to:
- $0 premium medical plan to include vision insurance
- Prescription and dental group insurance
- Retirement with employer match
- Generous paid time off (PTO) plan that starts accruing immediately and can be used as its earned
- Extended Sick Leave
- Flexible Spending Accounts for unreimbursed medical expenses and dependent care
- Employee Assistance Program
- Educational Assistance
Please visit the employee benefits page at get more in-depth benefits and coverage information or email to receive a full summary of benefits.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
