Authorization Specialist/Referral Coordinator
3 weeks ago
About Jax Spine & Pain Centers:
We are a leading provider of progressive interventional pain relief, serving multiple locations with board-certified physicians and medical staff.
Job Description:
- Process patient referrals, verifying insurance eligibility and requirements using multiple computer programs.
- Contact insurance companies to confirm benefits and obtain pre-certification and/or authorization as needed.
- Enter accurate authorization and/or pre-certification information into the computer system and attach supporting documentation.
- Provide timely feedback and follow-up on authorization and/or pre-certification requests.
- Manage referrals within established time frames set by regulatory or company policy.
- Locate and refer patients to suitable providers and facilities.
- Communicate effectively with other providers' offices, insurance companies, and patients.
- Notify patients when referral processes are completed and update electronic medical records accordingly.
- Responsible for all communicative referral information (i.e., faxes, emails, telephone calls).
- Closing daily tasks at the end of the shift.
- Verify new patient referrals in a timely manner.
- Maintain accurate documentation of work processes as required.
Salary: Estimated annual salary is $55,000 - $65,000 based on industry standards and location.
Qualifications:
- A high school diploma or equivalent is required.
- Prior experience as a referral coordinator or background in general office work is preferred.
- The ability to comprehend and follow established office routines and policies.
- An understanding of insurance carriers' plans and guidelines.
- Demonstrated knowledge of medical terminology, CPT, and ICD-9 codes.
- Familiarity with Microsoft Office products and basic computer skills.
- Strong oral and written communication skills.
- Ability to multitask efficiently and effectively.
- Good interpersonal and organizational skills.
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