Referral & Authorization Specialist
Western Reserve, Cuyahoga Falls, OH, United States
Responsibilities
Function as a liaison between physicians and patients in the processes of obtaining authorizations for tests, diagnostic imaging, DME, and referrals to other providers. Is responsible for communication with patients, and processing referral in EMR. Also responsible for determining insurance eligibility and ensuring that all payor requirements are met for authorizations and insurance processing.
Education & Training
High school diploma or equivalent required.
Experience
Two (2) years of experience in medical insurance verification or other hospital finance areas required.
Knowledge of authorization or referral verification requirements for Medicare, Medicaid, commercial insurance, managed care plans, workers compensation and other third-party payors required.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.
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Function as a liaison between physicians and patients in the processes of obtaining authorizations for tests, diagnostic imaging, DME, and referrals to other providers. Is responsible for communication with patients, and processing referral in EMR. Also responsible for determining insurance eligibility and ensuring that all payor requirements are met for authorizations and insurance processing.
Education & Training
High school diploma or equivalent required.
Experience
Two (2) years of experience in medical insurance verification or other hospital finance areas required.
Knowledge of authorization or referral verification requirements for Medicare, Medicaid, commercial insurance, managed care plans, workers compensation and other third-party payors required.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr