Referral & Authorization Specialist

Referral & Authorization Specialist Western Reserve Hospital Physicians, Inc Cuyahoga Falls, OH Job Details 3 days ago Qualifications Insurance prior authorization Medicare DME Managed care Mid-level High school diploma or

GED EMR/EHR

Patient interaction Referral coordination 2 years Full Job Description Function as a liaison between physicians and patients in the processes of obtaining authorizations for tests, diagnostic imaging, DME, and referrals to other providers. Is responsible for communication with patients, and processing referral in EMR. Also responsible for determining insurance eligibility and ensuring that all payor requirements are met for authorizations and insurance processing. Education and Training High school diploma or equivalent required. Experience Two (2) years of experience in medical insurance verification or other hospital finance areas required. Prior authorization experience required. Knowledge of authorization or referral verification requirements for Medicare, Medicaid, commercial insurance, managed care plans, workers compensation and other third-party payors required.