Insurance Authorization Liaison

1 week ago


Hillsboro, United States Hillsboro Medical Center Full time

POSITION OVERVIEW

The Patient Care Coordination Specialist plays a vital role in overseeing patient referral and authorization processes in alignment with various insurance policies. This position encompasses a diverse range of responsibilities, including effective communication via phone, coordination with insurance providers, administrative tasks, and appointment scheduling. The specialist is tasked with ensuring that all necessary information is accurately collected and documented for referrals and authorizations, while also delivering outstanding customer service, such as verifying insurance coverage and managing appointment bookings.

PRIMARY DUTIES

  • Facilitates the processing of referrals and authorizations for consultations, diagnostic studies, and medical procedures in accordance with insurance requirements.
  • Secures authorization for both prescription and infusion medications.
  • Manages the sample medication program and oversees medication storage within the clinic.
  • Assists patients with co-payment and medication assistance programs.
  • Prepares and transmits medical documentation to third-party entities and referring physicians.
  • Confirms insurance eligibility for patient visits to healthcare providers.
  • Handles incoming telephone inquiries, prioritizes calls, and retrieves prior medical records as needed.
  • Updates and maintains patient demographic and financial information.
  • Manages correspondence and ensures daily mail distribution.

QUALIFICATIONS

Education:

Preferred

  • Completion of high school or equivalent GED.

Experience:

Preferred

Licenses, Certifications, and/or Registrations:

Preferred

  • Current Basic Life Support (BLS) certification.

Essential Skills and Attributes:

Required

  • Exhibits a professional demeanor and conduct.
  • Possesses strong communication and customer service abilities.
  • Demonstrates excellent organizational and multitasking skills.
  • Has a solid understanding of medical terminology, insurance protocols, and coding practices.
  • Proficient in personal computer usage while maintaining confidentiality.

Additional Information

Hillsboro Medical Center is dedicated to ensuring equal employment opportunities for all qualified candidates. Our recruitment, hiring, promotion, transfer, and compensation practices are based solely on qualifications, irrespective of race, gender, religion, age, national origin, or any other protected status. We are committed to fair treatment and equal opportunities for all employees.



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