Patient Authorization and Referral Representative - Authorization
About Our Client
The organization operates in the healthcare sector, providing coordinated outpatient services through a network of medical providers. It addresses challenges in patient access and care coordination by managing referrals and pre-authorizations for outpatient services. With a broad presence across multiple states and a large network of providers and clinics, the organization serves diverse populations, including vulnerable communities, emphasizing whole-person care and patient-focused service.
About the Opportunity
This role is responsible for accurately and promptly managing referrals and pre-authorizations for outpatient services. It serves as a critical liaison among primary providers, patients, specialists, and health plans, ensuring smooth authorization processes that facilitate timely patient care.
Responsibilities
- Complete referrals and pre-authorizations for outpatient services accurately and on time
- Act as a liaison between primary providers, patients, specialists, and health plans
- Follow established departmental and hospital policies and procedures
- Perform duties independently with general guidance from supervisors
- May work evenings, holidays, and weekends based on clinic hours
Requirements
- Associate’s degree in Business, Billing, or Coding preferred
- Minimum of 2 years’ experience in a healthcare setting
- Experience using relevant technology systems
Pay
The pay range for this position is based on relevant job experience and other applicable factors; base pay may be supplemented with shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Benefits
- Retirement 401(k) Savings Plan with employer matching
- Health care benefits including medical, dental, and vision insurance
- Life and disability insurance
- Paid parental leave, vacation, holidays, and health-related time off
- Voluntary benefits and well-being resources