Referral Tech - Pre-Authorization MSD - FT - Day

Position Status

Full time

Shift

First Shift (Days - Less than 12 hours per shift) (United States of America)

Hours Per Week

40

Job Information

Exemption Status: Non-Exempt

A Brief Overview

The Referral Tech I is responsible for completing prior authorizations from referrals as ordered, and for scheduling tests, procedures and appointments.

Education Qualifications

• High School Diploma / GED Required
  
  

Experience Qualifications

• 1 year Registrar/referral experience. Preferred
• Experience using medical terminology. Preferred
  
  

Skills And Abilities

• Works well with other team members. (Required proficiency)
• Detailed knowledge of EPIC. (Required proficiency)
• Maintains confidentiality. (Required proficiency)
• Uses critical thinking skills. (Required proficiency)
• Uses time efficiently. (Required proficiency)
  
  

Licenses and Certifications

• Basic Life Support - BLS Preferred
  
  

What you will do

• Complete prior authorizations from referrals using web sites, telephone interaction with insurance companies and other methods as needed.
• Manage referral work queues to ensure that referrals are completed in a timely and efficient manner.
• Detailed knowledge of EPIC to access requested information as needed for referrals, appointments, and prior authorization.
• Basic knowledge of health insurance requirements for prior authorization and form completion.
• Respond to office staff for scheduling and insurance issues and keeps office informed of any problems or delays with scheduling appointments or approval of Prior Authorization.
• Develop and maintain a working knowledge of EPIC and current guidelines to schedule appointments and procedures including, but not limited to: consultations with other healthcare providers, MRI, CT, stress testing, Holter monitor, Orthopedics, ultrasound, PFT, PET/CT, swallow studies, bone scans, glucose testing, x- ray, and other diagnostic studies and/or procedures.
• Knowledge of National Patient Safety Goals and uses as applicable; i.e., use two identifiers when working with patients.
  
  

Required for All Jobs

• Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
• Performs other duties as assigned
  
  

Patient Facing Options

• Position is Not Patient Facing
  
  

Remote Work Guidelines

• Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
• Stable access to electricity and a minimum of 25mb upload and internet speed.
• Dedicate full attention to the job duties and communication with others during working hours.
• Adhere to break and attendance schedules agreed upon with supervisor.
• Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.
  
  

Remote Work Capability

• Hybrid
  
  

Scope

• No Supervisory Responsibility
• No Budget Responsibility No Budget Responsibility
  
  

Physical Demands

• Eye/Hand/Foot Coordination: Continuously greater than 5 hours
• Grasping (Fine Motor): Continuously greater than 5 hours
• Hearing: Continuously greater than 5 hours
• Repetitive Motions: Continuously greater than 5 hours
• Sitting: Continuously greater than 5 hours
  
  

Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.

Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.