Referral and Authorization Coordinator I- Full-time Remote

Job description

- Verifies and updates patient registration information in the practice management system. - Obtains benefit verification and necessary authorizations (referrals, precertification) before patient arrival for all ambulatory visits, procedures, injections, and radiology services. - Uses online, web-based verification systems and reviews real-time eligibility responses to ensure accuracy of insurance eligibility. - Creates appropriate referrals to attach to pending visits. - Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans. - Completes chart prepping tasks daily to ensure a smooth check-in process for the patient and clinic. - Researches all information needed to complete the registration process including obtaining information from providers, ancillary services staff, and patients. - Fax referral form to providers that do not require any records to be sent. Be able to process 75-80 referrals daily. For primary specialty office visits, fax referral/authorization forms to PCPs and insurance companies in a timely fashion. - Reviews and notifies front o...