Referral/Prior Authorization Coordinator

Referral Authorization Coordinator

As a member of the revenue cycle team, the Referral Authorization Coordinator will work with various stakeholders to assist with the execution and finalization of referrals and authorizations.

Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.

Performs eligibility checks on members as necessary by telephone or electronically.

Obtains authorizations, follows procedures for proper authorization and processing of all referral services.

Supports clinicians and patients in synchronized authorizations and tests taking place in different facilities.

Communicate with facilities and clinicians to ensure follow through with referrals.

Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.

Completes all administrative functions related to referral activities in an efficient manner.

Responsible for monitoring all referral reports not received and follow up in a timely manner.

Responsible for amicable interactions with coworkers and customers, including referral sources, office staff, and clinicians.

Various clerical work, including faxing, scanning, and copying. 2 years' experience as a Referral Authorization Coordinator, experience with insurance verification & processes. Referral & Authorization experience is a plus.

• Proficient in Microsoft suite of products, including Outlook, Word, and Excel.
• Minimum High School Diploma or equivalent, 2 years' experience as a Referral Authorization Coordinator, experience performing insurance verification and prior authorizations preferred.