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Authorization and Referrals

Job Description - Authorization and Referrals



Full-time


Description

The Authorization and Referrals position is responsible for obtaining and logging all necessary prior authorizations and/or referrals into our Electronic Health Record and medical billing system prior to scheduled appointments.

  • Receive, track and obtain insurance authorization from in-network and out-of-network insurance carriers for New Patient and Follow-Up visits with our medical providers.
  • Analyze daily schedule for patients needing prior authorization.
  • Request and obtain all authorizations prior to patients scheduled appointment/treatment.
  • Prepare and enter all authorizations into the e-MDs program.
  • Communicate to direct supervisor any potential authorization issues.
  • Positively communicate and interact with patients
  • Team player with front office staff and able to help with other tasks as needed

Requirements

  • At least 2 years of medical billing and authorization experience desired
  • Excellent organizational skills
  • Able to prioritize work flow
  • Computer skills: Electronic Health Records, Outlook email, Windows, Microsoft Word, On-line insurance carrier websites, Phreesia

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