Referral Authorization Coordinator

About the role

The Referral Authorization Coordinator schedules patient appointments and medical diagnostic tests for Tulane University employees, Tulane University Hospital and Clinic employees, and their dependents. Responsibilities include verifying insurance eligibility and benefits, obtaining prior certification and authorization for services and procedures, coordinating patient billing and collections, and performing patient information data entry.

Responsibilities

• Demonstrate working knowledge of insurance pre-certification, reimbursement, and denial processes
• Familiarity with Medicare, Medicaid, and commercial payers
• Provide excellent customer service
• Effectively interpret and follow oral and written instructions
• Manage multiple tasks and groups independently and concurrently, setting priorities to complete work procedures
• Use designated reference materials and follow detailed instructions
• Work independently and apply appropriate judgment in patient registration situations
• Work under pressure with time constraints
• Demonstrate effective oral and written communication skills
• Collaborate within a team to ensure quality patient care
• Maintain a professional attitude and appearance

Requirements

• High School diploma or equivalent
• Three years of experience using an electronic patient account system for third-party insurance eligibility verification
• Three years of patient registration and scheduling experience working with eClinicalWorks and/or IDX