What are the responsibilities and job description for the Authorizations / Referrals Coordinator position at PedIM Healthcare?
Description
Excellent opportunity for growth within the medical field! Become a part of this patient oriented fast paced medical practice. Where we provide medical care to adult and pediatric patients in one location, we pride ourselves on providing our patients with an overall outstanding experience.
Responsible for processing referrals from the office and specialists in a timely and accurate manner. This function includes obtaining authorizations when needed from various insurance companies.
Requirements
- Verify insurance eligibility and benefits as it relates to the services rendered.
- Obtain all referrals and authorizations as needed from payer for services.
- Resolve patient and payer requests, inquiries and concerns in an expedient and respectful manner.
- Ensure all authorizations and verifications have been completed and recorded in the system in a timely manner to avoid scheduling issues.
- Inform management of any pending authorization or verification issues which might delay ability to perform scheduled procedures.
- Maintain knowledge of and work in compliance with all HIPAA guidelines.
- Perform related duties as assigned by the supervisor.
- Maintain compliance with all company policies and procedures.
Minimum Education: High School Diploma or GED
Preferred experience: 1 year working in insurance, insurance verification, and/or customer service
Clean Background Check
EOE
PM20
Salary : $15 - $18