Referral and Authorization Coordinator is responsible for providing daily support to the financially related services of our patients as well as incoming callers into the practice, obtaining referral and authorization for all applicable office visits, and performing daily verification of patient’s insurance information.
Responsibilities include:
• Verifies patient eligibility with insurance companies and third-party vendors.
• Obtains authorizations for office visits and any other procedure requiring insurance authorization.
• Verifies accuracy of patient information with patient after obtaining authorizations.
• Obtains referrals for office visits as applicable.
• Answers all incoming calls in all assigned phone queues in a courteous, welcoming, professional & timely manner.
• Gathers and documents all information from the caller thoroughly and accurately.
• Answers as many callers’ questions as possible without the need for transferring the call.
• Thoroughly understands the reason for the call.
• Initiates telephone screening by determining call status and handling calls according to established Panoramic Health policy and procedure.
• Cancels or confirms patient visits as requested by callers.
• Maintains a professional and courteous environment.
• Maintains strict patient and employee confidentiality.
• Perform other duties and responsibilities as required, assigned, or requested.
Qualifications:
• High school diploma or general education degree (GED).
• Medical coding or authorization education/training preferred.
• 2 – 5 years’ experience with insurance companies preferred.
• Clinical background in front or back office preferred.
• Broad understanding of clinical operations, front office, and insurance and authorizations.
• Offer advanced computer skills in MS Office Suite, Allscripts/Veradigm, Availity, Novitas, and other applications/systems.
• Bilingual with the ability to read, write and speak Spanish strongly preferred.
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