Call Center Referral/Authorization Clerk

Authorization And Referral Clerk

Under the supervision of the call center coordinator, the authorization and referral clerks facilitate requests for authorizations and referrals under a providers order for the clinic systems. Duties include, but are not limited to:

• Receive requests from referring physicians via the electronic medical record, telephone and or fax.
• Request prior authorizations form insurance companies; schedule diagnostic procedures, appointments as appropriate.
• Provide information to referring physicians offices and notify patients of covered benefits and scheduled appointments.
• Initiate, maintain and update tracking systems for incoming and outgoing referrals.
• Responsible to track each case for initial referral all the way through the service being provided and the requesting provider receiving the documentation on the services performed or the patient refusing to follow through with the referral.
• Document each development timely, consistently and accurately in the EMR. Perform other assignments as directed.

Qualifications

Behaviors

Required

Dedicated

Devoted to a task or purpose with loyalty or integrity

Preferred

Team Player

Works well as a member of a group

Detail Oriented

Capable of carrying out a given task with all details necessary to get the task done well

Motivations

Required

Flexibility

Inspired to perform well when granted the ability to set your own schedule and goals

Preferred

Goal Completion

Inspired to perform well by the completion of tasks

Self-Starter

Inspired to perform without outside help

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.