ABOUT AUSTIN REGIONAL CLINIC:

Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 10 years! We are one of central Texas’ largest professional medical groups with 25 locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/.

PURPOSE

Under supervision of the Centralized Operations Manager, is responsible for answering incoming phone calls related to Authorization and Referrals as well as HIM. Assists in the coordination of care for patients that are referred to a specialist and/or other services. Acts as a resource for patients and staff with authorization and/or referral related questions/problems requiring resolution. Carries out all duties while maintaining compliance, confidentiality, and promoting the mission and philosophy of the organization.

ESSENTIAL FUNCTIONS

• Maintains basic understanding of insurance authorization and/or referral requirements.
• Answers incoming phone calls related to authorizations and referrals as well as basic HIM requests, handles as appropriate.
• Understands and communicates important authorization and/or referral information to patient and/or specialist in a timely manner.
• Assigns authorizations and referrals in EPIC to specialty appointments.
• Assists patients with scheduling appointments into specialty locations.
• Responsible for coordinating medical record information for transmission to specialist’s office.
• Responsible for working the RightFax in-box for referrals.
• Responsible for creating authorization and referral requests as needed.
• Coordinates with Primary Care Offices and Specialty offices as needed.
• Communicates changes and important information.
• Works efficiently with all departments to promote teamwork within the organization.
• Attends Authorization & Referral Meeting regularly, participates on sub-committees as needed.
• Coordinates with Primary Care Offices as needed.
• Informs management of any issues causing a delay in process.

OTHER DUTIES AND RESPONSIBILITIES

• Involvement in organizational development through meeting attendance and committee involvement.
• Responsibilities occasionally may require an adjusted work schedule, overtime, and evening/weekend hours in order to meet deadlines.
• Performs other duties as assigned.

QUALIFICATIONS

Education and Experience

Required: High school diploma or equivalent. Six (6) months or more experience working in the office of a healthcare related facility.

Preferred: Previous experience in insurance authorizations.

Knowledge, Skills and Abilities● Strong knowledge in business office functions and ability to serve as a resource to staff.
● Knowledge of medical insurance.
● Knowledge of medical terminology.
● Familiarity with procedural and diagnostic coding.
● Strong communication and interpersonal skills.
● Skill with operating PC and using the following software applications: MS Outlook, Word, Excel, and Microsoft Office OneNote.
● Excellent computer and keyboarding skills, including familiarity with Windows.
● Excellent verbal and written communication skills.
● Ability to provide excellent customer service.
● Ability to analyze problems, make decisions, and manage conflict.
● Ability to engage others, listen and adapt response to meet others’ needs.
● Ability to align own actions with those of other team members committed to common goals.
● Ability to manage competing priorities.
● Ability to perform job duties in a professional manner at all times.
● Ability to understand, recall, and communicate, factual information.
● Ability to understand, recall, and apply oral and/or written instructions or other information.
● Ability to organize thoughts and ideas into understandable terminology.
● Ability to apply common sense in performing job.

Work Schedule: Monday through Friday 8:00 am to 5:00 pm.