Authorizations Referrals Clerk ZR19698JOB
Authorizations Referrals Clerk ZR19698JOB
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1Year
USD USD 5 - 800
1 Vacancy
Job Description
This is a remote position.
- 40 hours per week
- Monday to Friday 9AM to 6PM Bakersfiled CA
- Includes 1 hour unpaid break
- Process and submit referrals and prior authorizations for diagnostic imaging therapies durable medical equipment (DME) and specialty consultations.
- Verify insurance coverage and benefits to ensure authorization requirements are met.
- Accurately document and update patient records in the Electronic Medical Records (EMR) system.
- Communicate with insurance companies providers and patients to obtain approvals and resolve any authorization issues.
- Monitor and follow up on pending authorizations to avoid delays in patient care.
- Maintain organized records and ensure timely processing of all referral and authorization requests.
- Work collaboratively with clinical staff front desk and billing departments to support smooth operations.
- Stay up to date with insurance policies referral procedures and authorization requirements.
- Experience: Minimum of 1 year in a medical referrals/authorizations role preferably in a pain management or highvolume specialty clinic.
- Technical Skills: Experience with Electronic Medical Records (EMR) systems and insurance portals.
- Organizational Skills: Ability to manage 80100 referrals/authorizations daily with accuracy and efficiency.
- Time Management: Ability to handle multiple tasks in a fastpaced environment while meeting deadlines.
- Attention to Detail: Ensures accuracy in all documentation and submissions.
- Communication Skills: Professional verbal and written communication to coordinate with providers patients and insurance representatives.
- ProblemSolving: Ability to troubleshoot and resolve authorization issues efficiently.
- Experience in pain management orthopedics or physical therapy referrals is a plus.
- Familiarity with Medicare Medicaid and commercial insurance authorization processes.
- Bilingual (English/Spanish) preferred but not required.
Qualifications & Skills: Experience: Minimum of 1 year in a medical referrals/authorizations role, preferably in a pain management or high-volume specialty clinic. Technical Skills: Experience with Electronic Medical Records (EMR) systems and insurance portals. Organizational Skills: Ability to manage 80-100 referrals/authorizations daily with accuracy and efficiency. Time Management: Ability to handle multiple tasks in a fast-paced environment while meeting deadlines. Attention to Detail: Ensures accuracy in all documentation and submissions. Communication Skills: Professional verbal and written communication to coordinate with providers, patients, and insurance representatives. Problem-Solving: Ability to troubleshoot and resolve authorization issues efficiently. Preferred Qualifications: Experience in pain management, orthopedics, or physical therapy referrals is a plus. Familiarity with Medicare, Medicaid, and commercial insurance authorization processes. Bilingual (English/Spanish) preferred but not required.
Education
N/A
Employment Type
Full Time
