Overview This is an in person position located at 320 South Service Road of the LIE in Melville Catholic Health is one of Long Island’s finest health and human services agencies.

Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.

At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes to every patient, every time.

We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job Details The Central Referral Authorization Coordinator duties : Working with the EMR, this position obtains prior authorizations for surgeries, procedures and outpatient tests for Catholic Health practices.

Position works closely with the practices and maintains strict confidentiality. Responsibilities : Verifies insurance coverage and obtains prior authorization as needed.

Demonstrates excellent customer service skills. Communicates effectively with insurance payers, patients, staff and management Teamwork : Works well with others and functions as a team player.

Offers ideas and solutions for issues that affect the team to achieve office and system departmental goals. Participates in the training and skills development of new employees.

Assists in other areas of the department as necessary Development : Develops and maintains a working knowledge of CPT coding.

Participates in continuing education. Participates in the development of new programs. Continues to develop clinical and operational knowledge.

Effectively communicates to the practices the outcome of procedural, surgical, and / or testing authorization submission using the EMR.

Assists with special projects as needed. Required Knowledge & Skills High School Diploma or GED Two years of related experience in a clinical environment Expert knowledge in surgical, procedural and outpatient testing authorizations in areas but not limited to of Cardiology, Colorectal Surgery, Interventional Cardiology, Gastroenterology, General Surgery, Vascular Surgery, Orthopedics, Pain Management, Neurology, Pulmonology, Nephrology and Urology Ability to organize, analyze and prioritize work Exhibit exceptional communication and negotiating skills to interact with payers, providers and patients Comprehensive understanding of insurance and experience with payer portals Data entry experience preferred.

Business like appearance, detail oriented ability to multi-task, ability to work closely with others and function as a team member Working knowledge of CPT, ICD-10 coding, medical terminology and anatomy Must possess the initiative and drive to take a project from beginning to a successful completion Salary Range USD $20.

00 - USD $25.00 / Hr. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience.

The salary range or rate listed does not include any bonuses / incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits.

Last updated : 2024-05-23