Authorization-Referral Specialist, IPN, Full Time

Job description

Description The Authorization- Referral Specialist will be responsible for managing the procurement of pre-authorizations, estimations, and/or referrals by practices and other facilities, for potential services that are scheduled at an Iredell Health location. Including verifying, retrieving, and updating the patient’s major medical health plan benefits; and documenting this information in the hospital’s health care technology system. Shift: M-F, 8:30 AM - 5:00 PM - Verify that all required pre-authorizations, estimations, and/or referrals have been completed by practices and other facilities and that they have been assigned to the correct department. - Responsible for prioritizing Stat pre-authorizations, estimations, and/or referrals. - Follow up on sent pre-authorizations, estimations, and/or referrals. - Review patient benefits and eligibility to communicate with clinician and clinical staff pertaining to pre-authorizations, estimations, and/or referrals. - Keep the system up to date with any changes in information. - Manage pre-authorization, estimation, and/or referral status to ensure Iredell Health location(s) have all updated and current information. - Obtains and maintain...