Authorization and Referrals

The Authorization and Referrals position is responsible for obtaining and logging all necessary prior authorizations and/or referrals into our Electronic Health Record and medical billing system prior to scheduled appointments.

- Receive, track and obtain insurance authorization from in-network and out-of-network insurance carriers for New Patient and Follow-Up visits with our medical providers.

- Analyze daily schedule for patients needing prior authorization.

- Request and obtain all authorizations prior to patients scheduled appointment/treatment.

- Prepare and enter all authorizations into the e-MDs program.

- Communicate to direct supervisor any potential authorization issues.

- Positively communicate and interact with patients

- Team player with front office staff and able to help with other tasks as needed

Requirements

- At least 2 years of medical billing and authorization experience desired

- Excellent organizational skills

- Able to prioritize work flow

- Computer skills: Electronic Health Records, Outlook email, Windows, Microsoft Word, On-line insurance carrier websites, Phreesia