Share Email Opening Apply Now Title Authorization/Referral Specialist  EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.   Description JOB SUMMARY: The Authorization/Referral specialist works , as a liaison between the physician and the patient. The position interfaces with physicians, patients, and administrative personnel and answers phone calls, responds to fax and email communication and routes messages accordingly. The focus of the position is to obtain prior authorizations for medications and/or procedures. JOB RESPONSIBILITES: Obtains authorizations for ancillary tests and medical procedures. Responsible for coordinating and processing of all patient referrals including specialty and ancillary services. Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date. Acts as liaison between the MSO and other healthcare providers while exhibiting a high level of customer service skills. Performs eligibility checks on members as necessary by telephone or electronically. Follows procedures for proper authorization and processing of all referral services. Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different practices. Communicates with patient and practice to ensure follow through with referrals. Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines. Completes all administrative functions related with referral activities in an efficient manner. Enters all referral hospital, outpatient and other patient specialty health service authorizations into the EMR and practice management system. Responsible for monitoring all referral reports not received and follow up in a timely manner. Performs duties in honest and ethical manner. Perform other duties as assigned.   Category Business Support   Exempt/Non-Exempt Non-Exempt   Location Island Fertility - Fertility   Full-Time/Part-Time Full-Time   Position Requirements REQUIRED QUALIFICATIONS: High School Diploma/GED minimum. Three (3) years of administrative experience in a medical office setting. Prior pre-authorization process experience. Strong organizational and communication skills (both verbal and written). Excellent typing skills and friendly telephone etiquette. Microsoft Office proficiency. PREFERRED QUALIFICATIONS: EMR experience. Experience with managed care companies. Familiarity with medical terminology, CPT procedure codes, and ICD-10 codes.       Shift Days   Tags Monday-Friday (Full time)   Salary Range $19.51-$24.37 per hour   Position Authorization/Eligibility Specialist - NSC   Open Date 9/6/2024   This position is currently accepting applications. Apply Now WE ALSO RECOMMEND Other Jobs Within Same Category Authorization/Referral Specialist in Commack, NY Posted on: 10/9/2024 [Apply Now] Office Manager in Hauppauge, NY Posted on: 10/2/2024 [Apply Now] Practice Administrator in Port Jefferson Station, NY Posted on: 10/2/2024 [Apply Now] Insurance Benefits Verification Specialist in Commack, NY Posted on: 9/11/2024 [Apply Now] Patient Navigator-Island Fertility in Commack, NY Posted on: 9/5/2024 [Apply Now] Other Jobs Within 60 Miles Unified Communications Engineer in Commack, NY Posted on: 9/18/2024 [Apply Now] IT Project Coordinator in Commack, NY Posted on: 9/25/2024 [Apply Now] Clinical System Application Specialist in Smithtown, New York Posted on: 9/25/2024 [Apply Now] IT Project Manager-Stony Brook Medicine in Smithtown, New York Posted on: 9/25/2024 [Apply Now] Registered Nurse- Fertility in Commack, NY Posted on: 8/2/2024 [Apply Now] Follow us

 

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