Referrals & Authorizations Specialist I

How Will You Make An Impact

• 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
• 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
• Captures and coordinates scheduling of appointments when appropriate on behalf of patients with specialist offices
• Communicates effectively and professionally with specialist offices
• Affixes and sends Athena fax requests to specialist offices
• Ensures complete and accurate registration, including patient demographic and current insurance information
• Assembles information concerning patient's clinical background and referral needs
• Performs tasks in accordance with referral guidelines, providing appropriate clinical information to specialists
• Demonstrates skills of effective communication, decision-making, and organization to ensure efficient job performance and success

Requirements

• Needs basic knowledge of insurance information (i.e. HMO vs. PPO), classes of insurance and is able to instruct and explain to the patient
• Communicates effectively and professionally with specialist offices
• Affixes and sends Athena fax requests to specialist offices
• Ensures complete and accurate registration, including patient demographic and current insurance information
• Assembles information concerning patient's clinical background and referral needs
• Performs tasks in accordance with referral guidelines, providing appropriate clinical information to specialists