Authorization & Referral Coordinator Ii - Austin, United States - Covenant Management Systems, L.P.

Covenant Management Systems, L.P.
Covenant Management Systems, L.P.
Verified Company
Austin, United States

2 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

ABOUT AUSTIN REGIONAL CLINIC:


PURPOSE


Under supervision of the Centralized Operations Manager, is responsible for obtaining authorizations and coordinating the care of patients that are referred to a specialist.

May also be responsible for obtaining authorizations for medications. Acts as a resource for patients and staff with authorization and/or referral related questions/problems requiring resolution. Carries out all duties while maintaining compliance, confidentiality, and promoting the mission and philosophy of the organization.


ESSENTIAL FUNCTIONS

  • Maintains current knowledge of insurance authorization and/or referral requirements.
  • Obtains authorizations from insurance carriers in a timely and efficient manner.
  • Acts as a resource for patients and staff with authorization and/or referral related questions/problems requiring resolution.
  • Communicates authorization and/or referral information to patients and specialist offices in a timely and efficient manner.
  • Serves as a liaison between Primary Care and Specialty offices.
  • Reviews chart to determine appropriate clinical to send to insurance as requested.
  • Can create, modify and sign referral orders within protocols.
  • Assists patients with scheduling appointments into specialty locations.
  • Responsible for coordinating medical record information for transmission to specialist's office.
  • Ensures authorization and/or referral information is properly documented in Epic.
  • If aware, informs physician of patient compliance with referral plan.
  • Informs physicians and management of any issues causing a delay in authorization process.
  • Communicates changes and important information
  • Works efficiently with all departments to promote teamwork within the organization.
  • Attends Authorization Meeting regularly, and participates on subcommittees as needed.

QUALIFICATIONS
Education and Experience

Required:
High school diploma or equivalent. Six (6) months or more experience working in the office of a healthcare related facility.

Preferred:
Previous experience in insurance authorizations.


AND
Knowledge, Skills and Abilities

  • Strong knowledge in business office functions and ability to serve as a resource to staff.
  • Knowledge of medical insurance.
  • Knowledge of medical terminology.
  • Familiarity with procedural and diagnostic coding.
  • Strong communication and interpersonal skills.
  • Excellent computer and keyboarding skills, including familiarity with Windows.
  • Excellent verbal and written communication skills.
  • Ability to provide excellent customer service.
  • Ability to analyze problems, make decisions, and manage conflict.
  • Ability to engage others, listen and adapt response to meet others' needs.
  • Ability to align own actions with those of other team members committed to common goals.
  • Ability to manage competing priorities.
  • Ability to perform job duties in a professional manner at all times.
  • Ability to understand, recall, and communicate, factual information.
  • Ability to organize thoughts and ideas into understandable terminology.

Work Schedule:
Monday

  • Friday, 8am5pm. Work from home opportunity once orientation complete.
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