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Referral & Authorization Coordinator

Company: PhyNet Dermatology, LLC
Location: Bloomington
Posted on: November 13, 2021

Job Description:

Education: High school diploma or equivalentExperience: 0-1-year customer services experience in a call center, healthcare or retail environment.Technology Applications: Computer savvy with ability to navigate between multiple systems simultaneously. Proficiency in Microsoft Office Applications.

  • Maintain outside physician referrals to schedule patients timely and appropriately.
  • Possesses a strong knowledge, understanding, and competency in the areas of insurance carrier plans and coverage benefits.
  • Manages the clinic inbox for appointment requests made online via website contact us
  • Tracks weekly referrals and their referral source to be used for Marketing initiatives.
  • Manages the ZocDoc online appointment booking to ensure that new patients are in network and appropriately scheduled.
  • Determines if patients insurance is a part of the provider network
  • Possesses a strong knowledge of required waivers or documents necessity (Ex: Medicare ABNs, auto forms, clinical documents, EMRs, and orders).
  • Makes outgoing calls or utilizes on-line recourses to obtain for pre-certification or any authorization required by the insurance carriers.
  • Contacts patient or physicians office using HIPAA guidelines prior to scheduled exam when additional information is required.
  • Serves as an insurance expert in assisting customer service representatives, front desk associates, account representatives, center directors, and technologists in answering insurance related questions.
  • Provides backup as a PSR as needed.
  • Performs other duties as assigned, to ensure the smooth operation of the department.

Keywords: PhyNet Dermatology, LLC, Bloomington , Referral & Authorization Coordinator, Other , Bloomington, Illinois

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