Referral Authorization Coordinator at Family Allergy & Asthma
Louisville, Kentucky, United States -
Full Time


Start Date

Immediate

Expiry Date

25 Aug, 26

Salary

0.0

Posted On

28 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Insurance Eligibility Verification, Prior Authorizations, Medical Documentation, ICD-10 Coding, CPT Coding, Medical Terminology, Electronic Medical Records (EMR), Microsoft Excel, Analytical Skills, Problem-solving Skills, Availity Clearinghouse

Industry

Medical Practices

Description
Description Job Title: Referral Authorization Coordinator Location: Landis Lakes office -Hybrid Reports To: Patient Engagement Manager Department: Scheduling and Registration Travel Required: No Summary of Duties and Responsibilities: Review and verify patients’ insurance eligibility and coverage. Coordinate completion of prior authorizations/referrals and submit required medical documentation to insurance companies. Ensure all insurance referral/authorization information is documented in the patient’s account ahead of their scheduled appointment. Apply knowledge of medical terminology, ICD-10, and CPT coding to support accuracy in our authorization/referral process. Respond to internal and external inquiries regarding authorizations/referrals. Maintain detailed records in Electronic Medical Records (EMR) system. Education, Prior Work Experience, Special Skill and Knowledge Requirements: -High School Diploma or GED, required -3-year medical billing office experience, required -Computer experience, including Microsoft Excel -Ability to multi-task and work in a fast-paced environment -Strong analytical and problem-solving skills -Knowledge of insurance carrier guidelines, deductibles, copays, and coinsurance -Knowledge of medical terminology and coding (ICD-10 and CPT) -Availity clearinghouse experience preferred
Responsibilities
The coordinator is responsible for verifying insurance eligibility and coordinating prior authorizations and referrals for patients. They must ensure all documentation is accurately recorded in the EMR system before scheduled appointments.
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