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ELIGIBLE FOR CMH EMPLOYEE REFERRAL BONUS : NON PRIORITY RECRUITMENT
The Referral and Authorization Representative coordinates and facilitates the process of internal and external referrals and authorizations for CMH.
This role responds to and processes standard and complex referral and authorization requests. Referral and authorization processing includes verifying eligibility, medical necessity, procedure and diagnosis coding, and patient benefit information.
This position is accountable for efficient follow through on all aspects of this process which includes communicating with patients and working any authorization denials and creating appeals.
In addition, this role holds expert-level knowledge of the daily workflows and consistently identifies areas of improvement while demonstrating CMH CARES values.
Job Requirements : Knowledge of / Skill / Ability to :
License / Certification : N / A
Education and / or Experience
Physical Demands and Work Environment Conditions / ADA Compliance
Position involves standing, walking, stooping, and occasional carrying and lifting of lightweight materials (up to 20 pounds).
May be required to sit for extended periods of time. Requires visual acuity and depth perception to recognize words and numbers;
and hand and finger dexterity and hand / eye coordination to use a computer keyboard and common office equipment.
Last updated : 2024-05-16
Full Time
Hospital
$38k-47k (estimate)
05/18/2024
08/14/2024
columbiamemorial.com
HUDSON, NY
500 - 1,000
1889
Private
RICHARD BACK
$50M - $200M
Hospital
The job skills required for Authorization representative include Time Management, Organizational Skills, etc. Having related job skills and expertise will give you an advantage when applying to be an Authorization representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Authorization representative. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Authorization representative positions, which can be used as a reference in future career path planning. As an Authorization representative, it can be promoted into senior positions as a Managed Care Coordinator that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Authorization representative. You can explore the career advancement for an Authorization representative below and select your interested title to get hiring information.