Call Center Referral/Authorization Clerk

Job Category : Clinical Professional (Allied Health) Requisition Number : CALLC002937 Posted: September 26, 2023 Part-Time Locations Showing 1 location

BRAWLEY, CA

CA Brawley, CA 92227, USA Description Under the supervision of the call center coordinator, the authorization and referral clerks facilitate requests for authorizations and referrals under a provider's 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 from insurance companies; schedule diagnostic procedures, appointments as appropriate. Provide information to referring physician 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 Required Behaviors: Dedicated: Devoted to a task or purpose with loyalty or integrity Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals Preferred Behaviors: 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 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. #J-18808-Ljbffr Pioneers Memorial Healthcare District