Referral Specialist (Full-time, Days)
Rochester Regional Health · US
Job Title : Referral Specialist Department : SCHI Location : 1445 Portland Avenue 2nd Floor Rochester, NY 14621 Hours Per Week : 40 - Full-time Schedule : Mo...
Job description
Job Title : Referral Specialist Department : SCHI: Location : 1445 Portland Avenue 2nd Floor Rochester, NY 14621 Hours Per Week : 40 - Full-time Schedule : Monday-Friday, 8am-430pm: Summary: The Authorization & Scheduling Coordinator is responsible for scheduling and obtaining insurance authorizations/pre-certifications for MRI, CT, Neurology, Pain Management, and other specialized testing, as well as referrals to physician specialists. This role ensures all patient and third-party interactions are accurately documented in the electronic medical record (EMR) system while promoting excellent customer service and appropriate patient care coordination. Responsibilities: Greet and assist patients in person and over the phone with a positive and helpful attitude Coordinate diagnostic testing and referrals between physicians, patients, facilities, and insurance payers Review medical documentation for accuracy and completeness prior to scheduling and authorization Obtain procedure and diagnosis codes necessary for insurance authorization and pre-certification Complete insurance authorization/pre-certification requests and submit required supporting documentation Document authorization det...