Authorization & Referral Specialist - Imaging Procedures and Referrals (Las Vegas)

WHAT IT TAKES TO BE PART OF OUR TEAM

Are you an exceptional Authorization & Referral Specialist who absolutely thrives on being part of an accountable team? Can you dedicate yourself to being part of a team serving the needs of children and their families? Do you bring the highest standards of integrity and professionalism to your team? Do you thrive in an environment where you are valued and appreciated for who you are, how hard you work and for that something special you bring to the teams you choose to work with? Are you looking for an organization that offers competitive compensation and one of the broadest and most comprehensive benefit packages available in the field of healthcare?

This is a role that requires a multi-disciplinary team approach to solving problems and patient challenges. "That's not my job" or "someone else can do it" is not in our team vocabulary because we are here to be of support to each other. The primary goal is to bring the best patient care and experience for our area's children.

SUMMARY: Authorizations and Referrals Specialists – Imaging Procedures and Referrals are responsible for providing prompt and courteous customer service to patients and providers, scheduling and obtaining prior authorizations for imaging and other procedures, processing referrals for in and out of area physicians, medical facilities, and testing centers. Authorization and Referral Specialists – Imaging Procedures and Referrals perform complex clerical procedures related to obtaining prior authorizations and ensure patient appointments have been scheduled, and outcomes of services are completed and obtained. 

ESSENTIAL DUTIES AND RESPONSIBILITIES

a) Utilize clinical data/knowledge to assist patients in gaining appropriate physician, hospital, medical group and community referrals.
b) Utilize computer software to process referrals and maintain up-to-date referral databases.
c) Facilitate scheduling of appointments.
d) Obtain prior authorizations for imaging studies and other procedures ordered by practice providers utilizing payer authorization tools including forms, websites and telephone or fax lines.
e) Maintains current patient files updated with the most current coverage provided.
f) Monitors department voice mail, Qliq, email, Teams messages and processes prior authorization requests in accordance with departmental guidelines.
g) Maintains telephone service standards and returns patient messages within one (1) business day.
h) Act as a point of contact for assigned providers to answer and route questions about patient care.
i) Efficiently manage a high volume of imaging, procedure and referral requests.
j) Process patient referrals in a timely manner.
k) Perform routine administrative and clerical tasks to keep the offices of physicians and other health practitioners running smoothly including answering telephones, communicating with patients, and communicating with physicians.
l) Administrative duties may include but are not limited to the following:

  • Answer telephones; taking complete and accurate messages
  • Fill out insurance forms
  • Handle correspondence
  • Schedule appointments
  • Arrange for ancillary services
  • Collection of medical records
  • Review and collection of physician orders
  • Perform other administrative duties as directed

Interested in Applying?

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