Prior-Authorizations/Referrals

Blue Sky Neurology - Greenwood Village, CO

Position Summary: 

This position is responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with other providers, transcribes and triages patient calls to physicians, coordinates patient appointments/orders.


Position Requirements:
Licensure/Certification/Registration: None
Education:
Experience:
Previous experience in a clinic setting preferred.
Knowledge/Skills/Abilities: Must have excellent verbal and written communication skills. Requires effective customer relation skills, ability to organize and interpret data. Requires good judgment, tact, diplomacy, and ability to problem solve. Able to work effectively in a team environment. Able to use a personal computer and related software.


Job Responsibilities:
Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.
Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services
Request, follow up and secure prior-authorizations prior to services being performed.
Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.
Communicate any insurance changes or trends among team.
Maintains a level of productivity suitable for the department.
Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format.
Other duties as assigned.


Job Type:
Full-time