Insurance Authorization Referral Specialist
Are you passionate about helping patients receive the care they need? Do you have a strong understanding of insurance authorizations and referrals? If so, we have an exciting opportunity for you to join our team as an Insurance Authorization Referral Specialist at CommonSpirit Health. As a member of our team, you will play a vital role in ensuring that our patients are able to access the medical services they require. We are seeking a detail-oriented individual with exceptional communication skills and a deep understanding of insurance processes and regulations. Join us in our mission to provide compassionate, high-quality care to those in need.
- Review and process insurance authorizations and referrals for patients, ensuring timely and accurate completion.
- Communicate with insurance companies, healthcare providers, and patients to obtain necessary information and resolve any issues related to authorizations and referrals.
- Collaborate with healthcare providers to ensure that all necessary documentation is submitted for insurance authorizations and referrals.
- Maintain a thorough understanding of insurance processes and regulations, staying up-to-date on any changes or updates.
- Utilize electronic medical records and billing systems to accurately document and track insurance authorizations and referrals.
- Verify insurance coverage and benefits for patients, informing them of any potential out-of-pocket costs.
- Monitor and track the status of pending authorizations and referrals, following up as needed to ensure timely completion.
- Work closely with the billing department to ensure that insurance authorizations and referrals are accurately documented and processed for payment.
- Provide excellent customer service to patients, addressing any questions or concerns related to insurance authorizations and referrals.
- Maintain confidentiality and adhere to all HIPAA regulations in handling sensitive patient information.
Knowledge Of Insurance Authorization And Referral Processes: A Candidate For This Position Should Have A Thorough Understanding Of Insurance Authorization And Referral Processes, Including Knowledge Of Common Insurance Plans, Coverage Criteria, And Referral Guidelines.
Communication Skills: As An Insurance Authorization Referral Specialist, Effective Communication With Patients, Insurance Companies, And Healthcare Providers Is Crucial. Strong Verbal And Written Communication Skills Are Essential For Success In This Role.
Attention To Detail: This Position Requires A High Level Of Attention To Detail To Ensure Accurate And Timely Processing Of Insurance Authorizations And Referrals. A Candidate Should Be Able To Review And Analyze Complex Insurance Information And Identify Any Discrepancies Or Missing Information.
Organizational Skills: Commonspirit Health Deals With A High Volume Of Insurance Authorizations And Referrals, Making Organizational Skills A Must For This Role. A Candidate Should Be Able To Prioritize And Manage Multiple Tasks Efficiently, Maintaining Accurate Records And Documentation.
Experience With Electronic Health Records (Ehr) Systems: Proficiency In Using Ehr Systems Is A Necessary Qualification For This Position. Candidates Should Be Familiar With Navigating And Entering Data Into Ehr Systems, As Well As Troubleshooting Any Technical Issues That May Arise.
Data Entry
Attention to detail
customer service
Medical Terminology
Insurance Verification
prior authorization
Claim Processing
Referral Management
Medicare/Medicaid Guidelines
Knowledge Of Insurance Plans
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Problem Solving
Time management
creativity
Critical thinking
Teamwork
Adaptability
According to JobzMall, the average salary range for a Insurance Authorization Referral Specialist in Phoenix, AZ, USA is $33,000 - $45,000 per year. However, this can vary depending on factors such as years of experience, education level, and specific skills and responsibilities required for the job. Additionally, the specific company and industry can also impact salary levels.
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CommonSpirit Health is the largest Catholic health system, and the second-largest nonprofit hospital chain, in the United States. It operates more than 700 care sites and 142 hospitals in 21 states.
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