Authorizations & Referrals Specialist - Part Time / Days
About The Position
At Island Health, every team member plays an important role in providing exceptional patient care — including our Authorizations and Referrals Specialist. We’re looking for a reliable, detail-oriented individual to join our Island Surgeons team and help maintain a clean, safe, and welcoming environment for patients, staff, and visitors. In the Authorizations and Referrals Specialist role, you will be responsible for coordinating the insurance referral and authorization process in order to support the continuity of patient care from primary to tertiary needs. This position is also responsible for acting as a resource to patients, staff, and providers with regard to insurance compliance and managed care options. Location: Anacortes, WA, Onsite Schedule: 0.8 FTE / Days Salary Range: $20.41 – $30.61 per hour For Information on Employee Benefits
Requirements
- High School diploma or GED required.
- Requirements include; the ability to prioritize efficiently, careful attention to detail, problem solving and time management skills.
- Working knowledge of claims processing, medical terminology, and CPT & ICD-10 coding.
- Must be able to demonstrate strong computer and time management skills.
- Demonstrated interpersonal, customer service, and organizational skills.
- Must be able to effectively multi-task.
Nice To Haves
- Additional education or training in ICD-10 Coding encouraged.
- Previous experience working in a Physician Practice or authorizations position strongly preferred.
Responsibilities
- Completes referral and authorization processes with ICD-10 and CPT codes, pertinent documentation and Diagnostic information.
- Verifies active primary insurance coverage in electronic worklists
- Documents chart notes and confirmation of service in EMR.
- Facilitates routing and release of patient record and other information to Scheduler in order to assist the patient with their appointment.
- Discusses and clarifies insurance coverage and problems with referrals with patients.
- Verifies ordered services meet CMS Medical Necessity requirements
- Sends patients notes of approval/denial of referral or authorization when applicable.
- Work patient electronic worklists daily
- Works collaboratively with team to assure referrals are processed timely
- Keeps abreast of new insurance and payer information, contractual updates, or developments as provided.
- Must have demonstrated ability to interact positively with Administration, Director, Managers, Supervisors, peers, co-workers, subordinates, patients and visitors.
- Must meet regular attendance standard and must stay at or below average sick leave utilization levels.
- Employee will function at all times within guidelines established in the Island Hospital HIPAA Compliance Policy and Confidentiality agreements.
Benefits
- Comprehensive Medical, Dental, and Vision Insurance
- Generous Paid Time Off and Extended Illness Benefits
- Life Insurance and Long-Term Disability Coverage
- Vested Retirement Contributions and Flexible Spending Accounts
- Tuition Reimbursement and Student Loan Repayment Programs
- Employee Recognition Events and a supportive, community-focused team
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED
