Authorization Coordinator I

Quick Facts

• Title: Authorization Coordinator I

• Work schedule: Full time, Days (Monday–Friday)

• Weekly hours: 40

Description

Processes patient referral requests to achieve timely and accurate determinations. Completes or forwards requests within scope of practice according to Utilization Management (UM) protocols, maintains required turnaround times, and assists providers and patients with referral status questions. Participates in development and implementation of improvements to the referral process and workflows.

Responsibilities

• Process referral requests to support timely and accurate determinations

• Complete or forward referral requests as appropriate to Managed Care physicians and/or nurses per UM protocols

• Maintain required turnaround times for referral completion

• Assist providers and patients with referral status questions

• Support improvements to the referral process and workflows

Requirements

• High school diploma or GED

• Knowledge of medical terminology

• CPT/HCPCS/ICD-9 coding knowledge

• Ability to use MS Office Excel and Word and other Managed Care programs

• Ability to identify, understand, and solve problems related to claims and referrals

• Communication skills to understand medical concepts and communicate issues concisely

• Ability to adjust quickly to changing projects and priorities and to multitask

• Organizational skills

Benefits

Benefits available