What are the responsibilities and job description for the Referral Authorization Coordinator position at Deery Brothers?
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.
- Communicate 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 in an efficient manner.
- Responsible for monitoring all referral reports not received and follow up in a timely manner.
- Responsible for amicable interactions with coworkers and customers, including referral sources, office staff, and clinicians.
- Various clerical work, including faxing, scanning, and copying. Ensure the work being performed meets internal and external compliance standards.
- Meet daily, monthly, and quarterly metrics and goals the leadership team sets.
- Perform other related duties as apparent and / or assigned.
Qualifications