Referral Authorization Specialist ($26/hr)

Temp-Hire

Hours: 40 HPW, Monday - Friday 8:30am - 5:00pm

• Perform wide variety of duties to secure optimal; revenue for all services
• Determine patient liability prior to service by creating estimate based on individual payer, notifies patient of their potential liability 
• Initiate contact with patients, clinicians, and third party payers to obtain pre-certification and authorization for evaluations and diagnostic tests
• Use critical thinking skills to ensure CPT codes are documented and authorized for the appropriate service
• Navigate multiple payer portals to determine requirements for authorization and submit electronic requests
• Follow up with payer denials by researching clinical data to support appeal
• Verify coverage and initiate authorizations for new evaluations and treatments

Education and/or Experience Requirements:

• Equal to completion of four years of high school plus additional specialized courses or training, secretarial school, diploma, or medical office certification.
• Duties require knowledge of medical terminology.
• Proficient keyboarding skills are essential.
• Must possess strong reasoning and critical thinking skills.
• Proficient in use of software applications such as e-mail, Word, Excel, EHR.
• Exceptional customer service skills are required.
• Associates degree preferred.