Coordinator-Referral and Authorizations - Radiation Oncology - FT - Days - MHW

Referrals And Authorizations Coordinator Location: Pembroke Pines, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Job Description The Referrals and Authorizations Coordinator secures prior authorizations and primary care referrals for both professional and hospital technical services across inpatient and outpatient care, including surgeries, procedures, and specialist visits. This role facilitates timely access to care, minimizes treatment delays, and supports accurate reimbursement through payer compliance. Responsibilities Collects patient out-of-pocket responsibility per collection guidelines. Provides patient estimates as requested. Prepares and balances a daily deposit of all payment collections. Provides exceptional customer service and ensures all questions and concerns are addressed in a timely and courteous manner. May guide the patient to appropriate destination for services. Obtains pre-certification and authorization. Verifies insurance benefits including obtaining insurance card(s) and confirms coverage is active. Determines correct insurance filing order, if multiple insurance coverages are effective for that service. Explains policies including all regulatory and financial consent forms; secures all required signatures. May perform patient discharge functions including, but not limited to, review of after visit summary (AVS), future appointment scheduling, and referrals. Interviews patients and guarantors at the workstation or bedside to obtain all necessary information, including a copy of the patient or guarantor identification card. May confirm physician and prescription orders ensuring accuracy. May schedule walk-in appointments for services offered. Competencies ACCOUNTABILITY, ACCURACY & QUALITY, CUSTOMER SERVICE, DESKTOP SOFTWARE - EHR, EFFECTIVE COMMUNICATION, HIPAA, INSURANCE VERIFICATION, MANAGE BUSINESS PRIORITIES, ORGANIZATION SKILLS, PATIENT AND FAMILY CENTERED CARE, PROBLEM SOLVING, PRODUCTIVITY, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM WORK, VERIFY INSURANCE, WORKLOAD MANAGEMENT Education and Certification Requirements High School Diploma or Equivalent (Required) Working Conditions and Physical Requirements Keyboard Entry = 60% Reaching = 40% Sitting = 20% Seeing - Far = 60% Lifting or Carrying 0 - 25 lbs Non-Patient = 60% Dust = 20% Memorial Healthcare System