Authorization & Referrals Specialist III

2 weeks ago


Fort Lee, United States 61st Street Service Corp Full time

Career Opportunities with 61st Street Service CorpCurrent job opportunities are posted here as they become available.Authorization & Referrals Specialist III #Full Time The Authorization & Referrals Specialist III is responsible to ensure that patients have been authorized for specialty services and office visits. May act as a liaison between the patient, provider/referring provider, primary care provider, and other parties involved in the plan of care. Appropriately link referrals for identified visits.Job Responsibilities:Ensure patients have been cleared for specialty services and office visits.Resolve authorization concerns prior to any patient's appointment.Confirm insurance coverage or lack thereof for patient.Obtain authorizations if needed from insurance coverage.Process preauthorization forms for requesting physician office or provider.Process patient referrals and link referrals for identified visits.Apply clinical data/knowledge to assist patients in gaining appropriate physician, hospital, and medical referrals.Perform routine administrative and clerical tasks to keep the offices of physicians and other health practitioners running smoothly.Perform administrative duties, including answering telephones, and greeting patients.Maintain service standards in accordance with the departmental/organizational policies.Perform related duties as assigned within scope of practice.Responsible for assisting with more complex patient issues and concerns.Assist supervisor/manager with monitoring inbound phone calls, call queue wait times and other assigned functions.Assists with training support of new hires.Job Qualifications:High school graduate or GED certificate is required.A minimum of 2 years experience in a physician billing or third party payer environment.Candidate must demonstrate working knowledge of contracts, insurance benefits, exclusions and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations.Candidate must demonstrate the ability to understand and navigate the payer adjudication process.Candidate must demonstrate a strong customer service and patient focused orientation and the ability to communicate, adapt, and respond to complex situations.Must demonstrate effective communication skills both verbally and written.Functional proficiency in computer software skills (e.g. Microsoft Word, Excel and Outlook, E-mail, etc.)Patient financial and practice management system experience in Epic and or other of electronic billing systems is preferred.Knowledge of medical terminology is preferred.Previous experience in an academic healthcare setting is preferred.Hourly Rate Ranges: $26.44 - $32.69Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education.61st Street Service CorporationAt 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.#J-18808-Ljbffr

by Jobble



  • Fort Lee, United States CareerBuilder Full time

    Career Opportunities with 61st Street Service Corp Current job opportunities are posted here as they become available. Authorization & Referrals Specialist III #Full Time The Authorization & Referrals Specialist III is responsible to ensure that patients have been authorized for specialty services and office visits. May act as a liaison between the patient,...


  • Fort Lee, United States 61st Street Service Corp Full time

    **Job Summary**: The Authorization & Referrals Specialist III is responsible to ensure that patients have been authorized for specialty services and office visits. May act as a liaison between the patient, provider/referring provider, primary care provider, and other parties involved in the plan of care. Appropriately link referrals for identified...


  • Fort Lee, United States 61st Street Service Corporation Full time

    Job Summary:The Authorization & Referrals Specialist III is responsible to ensure that patients have been authorized for specialty services and office visits. May act as a liaison between the patient, provider/referring provider, primary care provider, and other parties involved in the plan of care. Appropriately link referrals for identified visits.Job...


  • Fort Lee, United States 61st Street Service Corp Full time

    Authorization & Referrals Specialist I Full Time - Careers At 61st Street Service Corp Career Opportunities with 61st Street Service Corp Careers At 61st Street Service Corp Current job opportunities are posted here as they become available. Back To Openings Authorization & Referrals Specialist I #Full Time Department: Radiology - CDNYPI NJ Location:...


  • Fort Lee, United States 61st Street Service Corporation Full time

    Job Summary:The Authorization-Referrals Specialist I is responsible for verifying insurance policy benefit information, and securing payer required referrals and authorizations. This position is responsible for obtaining accurate and timely pre-authorizations for professional services prior to the patient's visit, scheduled admission, or immediately...


  • Fort Lee, United States 61st Street Service Corp Full time

    Career Opportunities with 61st Street Service Corp Current job opportunities are posted here as they become available. Account Receivable Specialist III #Full Time The Accounts Receivable Specialist III is responsible for follow-up work to collect on all open and unpaid accounts with insurance companies and third parties. Responsibilities will include...


  • North Fort Myers, United States Millennium Physician Group Full time

    Job DescriptionJob DescriptionINSURANCE REFERRAL AUTHORIZATION COORDINATORFULL TIME (MONDAY-FRIDAY 8AM-5PM)15201 N CLEVELAND AVE, NORTH FORT MYERSMillennium Physician Group seeks to hire a full-time / Insurance Referral/Authorization Coordinator to join our Referral and Authorization team. We are looking for a new team member who is positive, energetic and...


  • Fort Walton Beach, United States Orthopaedic Associates (Niceville) Full time

     Referral specialists are responsible for ensuring patients are already cleared for specialty service office visits.They resolve registration, pre-certification, and case-related affairs before the client's appointment.Also, they give support to clinical staff to manage the administrative components of clinical referrals for many services.They must gather...


  • Fort Myers, United States Premier Women's Care of Southwest Florida Full time

    Premier Women’s Care of Southwest Florida OB/GYN Care Center FL 221 Benefits/Authorizations Verification Specialist ------------------------------------------------------------------------------------------------------- - Job Title: Benefit/Prior Authorizations Verification Specialist (Non-Exempt Position) General Summary of Duties: Contacts third party...


  • Fort Worth, United States Simmons Bank Full time

    It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Position Summary The Compliance Specialist III works directly with Director of Compliance within the area of Regulatory and Consumer Affairs. As the first line liaison and subject matter expert for...


  • Fort Lauderdale, United States Trinity Health Full time

    Employment Type:Full timeShift:Day ShiftDescription:Position Summary:Patient Care Coordinator-Authorizations, Full time weekday positions with Holy Cross Medical Group in Ft Lauderdale, FloridaPosition Purpose:Patient Care Coordinator- Authorization Agent has many roles in their position. They work closely with insurance companies and specialists to process...


  • Fort Myers, United States Florida SouthWestern State College Full time

    **Florida SouthWestern State College** is accepting resumes in search of a **Simulation Operation Specialist III **to join our team of exceptional employees. This position is responsible for delivering web-based and onsite training and education and supporting the day-to-day operations of all simulation sites. The Simulation Operations Specialist III will...


  • Fort Worth, United States Simmons Bank Full time

    The Fair Lending Compliance Specialist III works directly with the Director of Fair and Responsible Banking to meet the requirements of the Fair Lending and Risk Management. These requirements include researching, reviewing, and interpreting Fair Len Lending, Compliance Specialist, Compliance, Specialist, Product Development, Healthcare, Assessment

  • Regulatory Affairs

    1 day ago


    Fort Worth, United States Simmons Bank Full time

    Compliance Specialist III works directly with a Compliance Manager to meet the requirements of the assigned regulatory area of the Compliance Management Program which includes researching, reviewing, and interpreting existing and pending laws and reg Compliance Specialist, Regulatory Affairs, Regulatory, Compliance Manager, Specialist, Compliance, Banking,...


  • Fort Wayne, United States VISITING NURSE dba Stillwater Hospice Full time

    Job DescriptionJob DescriptionJoin the Stillwater Hospice Team!We have an immediate need for a Billing SpecialistWork from the Southwest Fort Wayne Campus. Monday through Friday, daytime hours.We pride ourselves on promoting an Excellent Work/Life Balance and Excellent Employee Benefits. Health Insurance with PPO (preferred provider organization) or HDHP...


  • Fort Wayne, United States VISITING NURSE dba Stillwater Hospice Full time

    Join the Stillwater Hospice Team! We have an immediate need for a Billing SpecialistWork from the Southwest Fort Wayne Campus. Monday through Friday, daytime hours. We pride ourselves on promoting an Excellent Work/Life Balance and Excellent Employee Benefits. Health Insurance with PPO (preferred provider organization) or HDHP (high-deductible health...


  • Lee County, United States London North West University Healthcare NHS Trust Full time

    Job summary We are looking to add to our team who provide comprehensive administration services to support all functions of the Patient Access Centre (PAC), in delivering an effective and timely referral management service. The role of the referral management administrator is vital in ensuring that GP referrals are uploaded from the national referral...


  • Fort Myers, United States Florida SouthWestern State College Full time

    Florida SouthWestern State College is accepting resumes in search of a Simulation Operation Specialist III  to join our team of exceptional employees. This position is responsible for delivering web-based and onsite training and education and supporting the day-to-day operations of all simulation sites. The Simulation Operations Specialist III will...


  • Fort Lee, United States Kedrion Biopharma Inc. Full time

    Kedrion Biopharma, Inc. Sr. Specialist Regulatory Affairs Fort Lee , New Jersey Apply Now Kedrion Biopharma is a biopharmaceutical company specializing in the development, production and distribution of plasma-derived products. Kedrion has been producing plasma products for over 40 years and has a market presence in about 100 countries. Our employees are...


  • Fort Eustis, United States Beat Full time

    Job Title: Help Desk Specialist III Locations: Multiple Locations (Rock Island IL ; Fort Huachuca, AZ ; Fort Detrick, MD ; Fort Stewart, GA ; Carlisle Barracks, PA ; Fort Dix, NJ; Ft Rucker, AL; Ft. Eisenhower, GA (Ft. Gordon)) Clearance: Secret Certifications: CompTIA Security+CE Education: N/A Roles and Responsibilities: Minimum five (5) year...