Authorization & Referral Coordinator I
ABOUT AUSTIN REGIONAL CLINIC: Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/. PURPOSE Under supervision of the Centralized Authorization and Referrals Supervisor, supports patient care in an inbound high volume call center environment seeking to provide a positive experience for each call. Answers incoming phone calls related to authorization and referrals and assists in the coordination of care for patients that are referred to a specialist and/or other services. Acts as a resource for patients and staff with authorization and/or referral related questions/problems requiring resolution. Carries out all duties while maintaining compliance, confidentiality, and promoting the mission and philosophy of the organization. ESSENTIAL FUNCTIONS · Answers incoming phone calls related to authorizations and referrals, adhering to schedule with assigned breaks and lunches. · Maintains basic understanding of insurance authorization and/or referral requirements. · Understands and communicates important authorization and/or referral information to patient and/or specialist in a timely manner. · Responsible for coordinating medical record information for transmission to specialist’s office. · Responsible for creating authorization and referral requests as needed. · Coordinates with Primary Care Offices and Specialty offices as needed. · Works efficiently with all departments to promote teamwork within the organization. · Attends Authorization & Referral Meeting regularly. · Informs management of any issues causing a delay in process. · Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct. · Regular and dependable attendance. · Follows the core competencies set forth by the Company, which are available for review on CMSweb. OTHER DUTIES AND RESPONSIBILITIES ● Involvement in organizational development through meeting attendance and committee involvement. ● Responsibilities occasionally may require an adjusted work schedule, overtime, and evening/weekend hours in order to meet deadlines. ● Performs other duties as assigned. QUALIFICATIONS Education and Experience Required: High school diploma or equivalent. Six (6) months or more experience working in the office of a healthcare related facility. Preferred: Previous experience in insurance authorizations. Previous experience in a high volume customer service environment and/or experience with Avaya phone system a plus. AND Knowledge, Skills and Abilities ● Strong knowledge in business office functions and ability to serve as a resource to staff. ● Knowledge of medical insurance. ● Knowledge of medical terminology. ● Strong communication and interpersonal skills. ● Excellent computer and keyboarding skills, including familiarity with Windows and Adobe products. ● Excellent verbal and written communication skills. ● Ability to adhere to an assigned schedule with little deviation. ● Manual dexterity and sitting is required in carrying out position. ● Ability to provide excellent customer service. ● Ability to troubleshoot basic system issues. ● Ability to analyze problems, make decisions, and manage conflict. ● Ability to engage others, listen and adapt response to meet others’ needs. ● Ability to align own actions with those of other team members committed to common goals. ● Ability to manage competing priorities. ● Ability to perform job duties in a professional manner at all times. ● Ability to understand, recall, and communicate, factual information. ● Ability to understand, recall, and apply oral and/or written instructions or other information. ● Ability to organize thoughts and ideas into understandable terminology. ● Ability to apply common sense in performing job. Work Schedule: Monday - Friday 8AM - 5PM. Remote Opportunity once in person training is completed. Apply To This Job