Referral Authorization Coordinator
Deer Oaks - The Behavioral Health Solution, San Antonio, TX, United States
As a member of the revenue cycle team, the Referral Authorization Coordinator will work with various stakeholders to assist with the execution and finalization of referrals and authorizations.
Referral Authorization Coordinator
Job Description
Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.
Performs eligibility checks on members as necessary by telephone or electronically.
Responsible for processing of all patient referrals for assigned cost centers.
Obtains authorizations, follows procedures for proper authorization and processing of all referral services.
Supports clinicians and patients in synchronized authorizations and tests taking place in different facilities.
Communicates with facilities and clinicians to ensure follow through with referrals.
Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.
Completes all administrative functions related to referral activities efficiently.
Monitors all referral reports not received and follows up in a timely manner.
Maintains amicable interactions with coworkers and customers, including referral sources, office staff, and clinicians.
Performs various clerical work, including faxing, scanning, and copying, ensuring compliance with internal and external standards.
Meets daily, monthly, and quarterly metrics and goals set by the leadership team.
Performs other related duties as assigned.
Qualifications
2 years of experience as a Referral Authorization Coordinator, with experience in insurance verification & processes. Prior referral & authorization experience is a plus.
Proficient in Microsoft Office suite, including Outlook, Word, and Excel.
Self‑starter, displaying the highest level of integrity and respect for confidentiality.
Exhibits practical judgment and sensitivity to changing needs and situations.
High attention to detail and accuracy.
Strong sense of urgency and ability to adapt to a changing environment.
Excellent written and verbal communication skills, providing courtesy and professionalism in all communications.
Proven ability to work independently and within a team.
Demonstrated ability to collaborate with other departments and teams.
Ability to multi‑task, meet deadlines, and succeed in a fast‑paced work environment.
Minimum high school diploma or equivalent.
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Referral Authorization Coordinator
Job Description
Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.
Performs eligibility checks on members as necessary by telephone or electronically.
Responsible for processing of all patient referrals for assigned cost centers.
Obtains authorizations, follows procedures for proper authorization and processing of all referral services.
Supports clinicians and patients in synchronized authorizations and tests taking place in different facilities.
Communicates with facilities and clinicians to ensure follow through with referrals.
Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.
Completes all administrative functions related to referral activities efficiently.
Monitors all referral reports not received and follows up in a timely manner.
Maintains amicable interactions with coworkers and customers, including referral sources, office staff, and clinicians.
Performs various clerical work, including faxing, scanning, and copying, ensuring compliance with internal and external standards.
Meets daily, monthly, and quarterly metrics and goals set by the leadership team.
Performs other related duties as assigned.
Qualifications
2 years of experience as a Referral Authorization Coordinator, with experience in insurance verification & processes. Prior referral & authorization experience is a plus.
Proficient in Microsoft Office suite, including Outlook, Word, and Excel.
Self‑starter, displaying the highest level of integrity and respect for confidentiality.
Exhibits practical judgment and sensitivity to changing needs and situations.
High attention to detail and accuracy.
Strong sense of urgency and ability to adapt to a changing environment.
Excellent written and verbal communication skills, providing courtesy and professionalism in all communications.
Proven ability to work independently and within a team.
Demonstrated ability to collaborate with other departments and teams.
Ability to multi‑task, meet deadlines, and succeed in a fast‑paced work environment.
Minimum high school diploma or equivalent.
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