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Referral Authorization Specialist

2 months ago

Bellevue, Washington, United States TEKsystems Full time

Position Overview:

The Referral Authorizations Coordinator is responsible for a variety of administrative tasks, including the processing of referrals, patient registration, verification of insurance benefits, and authorization management. This role also involves scheduling patient appointments and facilitating communication with potential candidates and referral sources.

  • Engages professionally and effectively with healthcare providers, patients, referring physicians, and insurance representatives.
  • Confirms insurance eligibility and benefits using automated systems, payer portals, or direct communication.
  • Keeps organized and detailed records of prior authorization and referral requests.
  • Handles incoming referrals from various sources, ensuring proper authorization and scheduling of patients.
  • Reviews scheduled appointments to verify the accuracy of insurance eligibility and referral requirements.
  • Maintains up-to-date knowledge of healthcare plan specifications and network requirements.
  • Effectively triages incoming inquiries and requests necessary documentation from providers or patients for service authorization and status updates.

Essential Skills and Qualifications:

Technical Skills:

  • Proficient in verifying insurance through online platforms.
  • Minimum of two years of experience in insurance referral coordination or medical office settings.
  • Familiarity with Next Gen and Epic systems is preferred.
  • Experience with phone, fax, MyChart, and email communications.

Interpersonal Skills:

  • Strong communication abilities.
  • Capacity to thrive in a high-volume patient care environment.
  • Meticulous attention to detail.
  • Self-motivated and proactive.

Work Environment:

  • Standard work schedule of Monday through Friday, 40 hours per week.
  • Initial training period requires in-office attendance, with potential for a hybrid work model thereafter.
  • Training will take place across designated office locations to ensure comprehensive onboarding.

Compensation may vary based on factors unrelated to protected classifications.

Eligibility for certain benefits may depend on job classification and length of employment. Benefits are subject to change and may have specific terms.

  • Medical, Dental & Vision Coverage
  • 401(k) and Roth Options
  • Life Insurance and AD&D
  • Short and Long-Term Disability Coverage
  • Health Savings and Dependent Care Flexible Spending Accounts
  • Transportation Benefits
  • Employee Assistance Programs
  • Paid Time Off or State Sick Leave
About TEKsystems:

TEKsystems is a leader in Full-Stack Technology Services and Talent Services, partnering with clients to leverage innovative solutions and drive transformation. With a workforce of 80,000 and collaborations with over 6,000 clients, including a significant portion of the Fortune 500, we are committed to fostering meaningful partnerships that facilitate change.

We are an equal opportunity employer and consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any other characteristic protected by law.