What are the responsibilities and job description for the Call Center Referral/Authorization Clerk position at Pioneers Memorial Healthcare District?
Under the supervision of the call center coordinator, the authorization and referral clerks facilitate requests for authorizations and referrals under a providers order for the clinic systems. Duties include, but are not limited to:
Receive requests from referring physicians via the electronic medical record, telephone and or fax. Request prior authorizations form insurance companies; schedule diagnostic procedures, appointments as appropriate. Provide information to referring physicians offices and notify patients of covered benefits and scheduled appointments. Initiate, maintain and update tracking systems for incoming and outgoing referrals. Responsible to track each case for initial referral all the way through the service being provided and the requesting provider receiving the documentation on the services performed or the patient refusing to follow through with the referral. Document each development timely, consistently and accurately in the EMR. Perform other assignments as directed.