The Coordinator Insurance Referral Authorization provides excellent customer service to all customers through multiple venues, phone, email, and written correspondence. The Coordinator Insurance Referral Authorization will obtain referrals/authorizations utilizing all available tools and resources. Effectively document and communicate referrals/authorizations to the practices in a timely manner through the EHR system. The Coordinator Insurance Referral Authorization will ensure that all referrals and/or authorizations are managed effectively and efficiently for all contracted insurances and organizations.

• Possess vast insurance plan knowledge.
• Ability to interpret and apply policies and procedures.
• Assists with maintenance of internal policies and procedures under Supervisor’s direction.
• Communicates with insurance companies to obtain referrals/authorizations via phone, fax, or insurance web portals.
• Follows up on referral/authorization inquiries that have not been immediately resolved.
• Works closely with the practices to ensure patient’s referral/authorization is active and correct.
• Ability to verify a patient’s eligibility to identify potential eligibility errors prior to the patient’s appointment.
• Updates EHR with referral and/or authorization information and acts as a liaison between the practices and billing department.
• Works closely with Revenue Integrity and the RC Billing & Denial Specialists to identify denial trends and assist in resolution.
• Stays current on all insurance changes related to referrals/authorizations.
• Ability to deal with diverse and challenging callers with the philosophy that the customer is always right.
• Protects patient confidentiality by ensuring protected health information (PHI) is secured.

• Minimum of a High School diploma or GED is required.
• 1-year medical billing experience or PSR experience required
• Excellent customer service skills.
• Ability to effectively gather and exchange information in both oral and written communications.
• Organizational and time management skills and ability to work independently.
• Proficiency in computer keyboarding skills required.
• Ability to work independently with minimal supervision.
• Detail oriented, analytical skills, ability to problem solve and recommend resolutions.
• Ability to use MS Office Suite (Word, Excel, Outlook).
• Stays current on industry regulations and requirements.