Patient Referrals/Prior Authorizations

Job Description

Patient Referrals/Prior Authorizations

Basic Purpose of This Job:

Reporting to the Business Manager, the Patient Referrals/Prior Authorizations Specialist is responsible for organizing, managing and successfully completing all functions related to patient referrals and prior authorizations.

Aptitudes & Temperaments Required

• Reflect a professional appearance and demeanor;
• Organized, attention to detail;
• Able to work in a team-oriented environment;
• Requires a patient and helpful demeanor;
• Able to communicate well with staff members, especially providers
• Have the initiative to start and finish projects in spite of numerous interruptions and delays;
• Can tune out outside distractions and office noises;
• Have a willingness and ability to be a flexible member of the clinic team.

Skills & Education Required:

• High School diploma or equivalent;
• Basic medical terminology and an understanding of a busy family practice clinic;
• Ability to organize and coordinate multiple tasks;
• Working knowledge of multi-line telephone system;
• Good typing/date-entry skills, and basic computer skills;
• Excellent communication skills.

Physical characteristics Required:

• Clear speaking voice;
• Able to sit and stand for long periods of time
• Able to bend, stoop, reach and walk for long periods of time;
• Good hearing;
• Legible handwriting.

Environmental and Working conditions:

• Work is done in a busy family practice clinic setting;
• Comfortable medical office environment;
• Constant interruptions from a variety of sources (providers, phone, patients, other staff members).

Patient referrals

• Receive orders from clinic providers
• Fax orders and chart notes to specialists
• Call to confirm receipt of orders
• Call to schedule specialty appointments
• Inform patient of appointments
• Follow up to obtain chart notes and close orders
• Update electronic medical records

Prior authorizations

• Obtain prior authorizations from insurance companies for medications, tests and procedures
• Update electronic medical records

Position is full time

Monday – Friday 8:00 – 5:00

Paid time off

Simple IRA

Job Type: Full-time

Pay: $14.00 - $16.00 per hour

Benefits:

• Paid time off
• Retirement plan

Schedule:

• Monday to Friday

COVID-19 considerations:
All staff members must be vaccinated or have a valid exemption form. Patients are waiting in their cars until they are called to an exam room.

Education:

• High school or equivalent (Preferred)

Experience:

• Medical terminology: 2 years (Preferred)
• Patient referral: 1 year (Preferred)

Language:

• English? Spanish? (Preferred)

Work Location: One location