Insurance Authorization Refer
Insurance Authorization Refer
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Job Description
Overview
Responsibilities
The Insurance Authorization/Referral Specialist will perform the following
Obtains authorizations and referrals for hospital procedures and multi-specialties services in a timely manner.
Accurately enters patient and authorization information into both the hospital and clinic system.
Provides training to office staff regarding required information for authorizations Assists clients and staff with basic client account questions.
Keeps current with trends and developments related to essential job competencies.
Prior to the patients scheduled procedure pre-registers patient encounters by collecting complete and accurate patient demographic and guarantor information; collecting complete and accurate insurance information; requesting pre-services payment and checking for medical necessity.
Assists in the orientation and training of new employees.
Maintains knowledge of current hospital policies.
Attends staff meetings and in-services as scheduled.
Demonstrates flexibility in job assignments and scheduling.
The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.
Qualifications
High School Diploma/GED
Minimum two (2) years experience with the referral/authorization process and interacting with insurance carriers
Preferred
College level business courses helpful
Preferred scheduling experience in a Radiology setting
Familiarity with the referral/authorization process and interacting with insurance carriers
Employment Type
Unclear
