Referrals & Authorizations Specialist I
Job Location:
Fort Myers, FL - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
Job Description Summary
The Referrals and Authorization Specialist will assure that all referrals are managed effectively and efficiently for all contracted insurances and organizations. It requires the obtaining of referrals utilizing the available tools and resources and effectively documenting and communicating to providers in a timely manner through the EMR system. This job requires the application and interpretation of policies and procedures and the use of independent judgment in a medical setting. The individual must possess the ability to maintain a working knowledge of departmental policies and procedures.How will you make an impact & Requirements
This is an onsite role
Monday-Friday 8:00am-5:00pm
Collaborates with referring physician offices to ensure referrals are completed appropriately.
Ensures that referrals are addressed in a timely manner
Reviews details and expectations about the referral with patients
Communicates effectively about the EMR system
Needs basic knowledge of insurance information (i.e. HMO vs. PPO) classes of insurance andis able toinstruct and explain to the patient
Makes outgoing calls to patients to inform them of the preferred in network provider that they are being referred to
Verifies if patient would like assistance in coordinating the appointment
Verifies with patient that all information is attached to request
Coordinates scheduling of appointments when appropriate on behalf of patients with specialist offices
Communicates effectively and professionally with specialist offices
Assists in sending Athena fax request to specialist office
Ensures complete and accurate registration including patient demographic and current insurance information
Assembles information concerning patients clinical background and referral needs. Per referral guidelines provide appropriate clinical information to specialist
Demonstrates the skills of effective communication decision-making and organization to ensure efficient job performance and job success
Daily work is accomplished with minimal direct supervision
Work priorities are setin order toaccomplish task/goals
Confidential matters are handled appropriately
Provides high-level customer service to both referring physicians as well as referred patients
Confidentiality of patient data ismaintained at all times
Workspace is maintained in an organized and professional manner
Courteous and professional demeanor isdemonstrated at all times
Compensation Range:
$17.10to
$25.65The anticipated base salary range represents the Companys good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience skills qualifications geographic location internal equity and business needs.
Required Experience:
IC
About Company
Millennium Physician Group is one of the largest physician groups with more than 550 healthcare providers in Florida.
