Asante
Referral and Authorization Specialist (Sched & Patient Sup)
Asante, Medford, Oregon, United States, 97504
Additional Position Details: FTE: 1.000000 | Full Time | 1st Shift - Days
Starting Wage: $20.53-$28.23 per hour, depending on experience
Position Summary
The
Referral and Authorization Specialist
is responsible for processing all referrals from the assigned area of specialty. This includes securing pre-authorizations when necessary to facilitate timely appointments and support continuity of care within the health system.
As a Referral and Authorization Specialist for Asante, you will have the opportunity to:
Receive and transcribe all referrals in Asante's referral tracking system, assist with coordinating the scheduling of care based on clinical protocols, and send confirmation for scheduled services to the patient. Ensure patient demographic and insurance information accompanying the referral is accurate and complete, and follow up with referring clinics and/or patients as needed to fill in missing or incorrect information. Obtain pre-authorizations and pre-certifications from third-party payers in accordance with payer requirements and document the authorization number and period of validity in the referral. Gather additional medical records from other providers as needed to support medical necessity when obtaining a preauthorization, and follow up with payers on pre-authorization requests as needed. Identify patients who will need to receive Medicare Advance Beneficiary Notices of Noncoverage, along with Waivers for Oregon Health Plan and Commercial insurance patients. Accurately enter all referral information into appropriate systems daily in order to schedule the initial evaluation and follow-up appointments as needed. Ensure Therapists have all clinical information necessary for referral appointments & authorization forms, and send any additional documents upon request. Alert the therapist involved in the patient's care when there are issues with referrals or complications with insurance coverage. Inform the patient whether the authorization for the referral has been approved or denied, and discuss what other possible form of payment may be applicable. Qualifications
Minimum of 2 years of healthcare-related insurance, scheduling, front desk, or comparable experience, required Associate Degree in business or healthcare-related field, preferred CHAA: Certified Healthcare Access Associate, preferred Total Rewards Package
Earn a competitive and progressive salary Benefit from health plans that are focused on health and wellness, including medical, dental, vision, and wellness, beginning within 30 days of hire On-call employees may receive an additional 15% for flexibility Plan for your future with a retirement package that includes up to 6% employer contribution Experience a healthy work-life balance with our generous earned time off (ETO) Continue to enhance your education through our tuition reimbursement and tuition repayment plans
At Asante, we are guided by our values below. Explore Asante more by visiting www.asante.org/careers
Excellence - Respect - Honesty - Service - Teamwork
Asante is an equal opportunity employer. We are committed to employ and advance in employment women, minorities, qualified individuals with disabilities and protected veterans.
Starting Wage: $20.53-$28.23 per hour, depending on experience
Position Summary
The
Referral and Authorization Specialist
is responsible for processing all referrals from the assigned area of specialty. This includes securing pre-authorizations when necessary to facilitate timely appointments and support continuity of care within the health system.
As a Referral and Authorization Specialist for Asante, you will have the opportunity to:
Receive and transcribe all referrals in Asante's referral tracking system, assist with coordinating the scheduling of care based on clinical protocols, and send confirmation for scheduled services to the patient. Ensure patient demographic and insurance information accompanying the referral is accurate and complete, and follow up with referring clinics and/or patients as needed to fill in missing or incorrect information. Obtain pre-authorizations and pre-certifications from third-party payers in accordance with payer requirements and document the authorization number and period of validity in the referral. Gather additional medical records from other providers as needed to support medical necessity when obtaining a preauthorization, and follow up with payers on pre-authorization requests as needed. Identify patients who will need to receive Medicare Advance Beneficiary Notices of Noncoverage, along with Waivers for Oregon Health Plan and Commercial insurance patients. Accurately enter all referral information into appropriate systems daily in order to schedule the initial evaluation and follow-up appointments as needed. Ensure Therapists have all clinical information necessary for referral appointments & authorization forms, and send any additional documents upon request. Alert the therapist involved in the patient's care when there are issues with referrals or complications with insurance coverage. Inform the patient whether the authorization for the referral has been approved or denied, and discuss what other possible form of payment may be applicable. Qualifications
Minimum of 2 years of healthcare-related insurance, scheduling, front desk, or comparable experience, required Associate Degree in business or healthcare-related field, preferred CHAA: Certified Healthcare Access Associate, preferred Total Rewards Package
Earn a competitive and progressive salary Benefit from health plans that are focused on health and wellness, including medical, dental, vision, and wellness, beginning within 30 days of hire On-call employees may receive an additional 15% for flexibility Plan for your future with a retirement package that includes up to 6% employer contribution Experience a healthy work-life balance with our generous earned time off (ETO) Continue to enhance your education through our tuition reimbursement and tuition repayment plans
At Asante, we are guided by our values below. Explore Asante more by visiting www.asante.org/careers
Excellence - Respect - Honesty - Service - Teamwork
Asante is an equal opportunity employer. We are committed to employ and advance in employment women, minorities, qualified individuals with disabilities and protected veterans.