Call Center Referral/Authorization Clerk

Responsibilities

• Receive requests from referring physicians via the electronic medical record, telephone and or fax.
• Request prior authorizations form insurance companies; schedule diagnostic procedures, appointments as appropriate.
• Provide information to referring physicians offices and notify patients of covered benefits and scheduled appointments.
• Initiate, maintain and update tracking systems for incoming and outgoing referrals.
• Track each case for initial referral all the way through the service being provided and the requesting provider receiving the documentation on the services performed or the patient refusing to follow through with the referral.
• Document each development timely, consistently and accurately in the EMR.
• Perform other assignments as directed.