Job Description
Position Overview
The Referral & Authorization Specialist is responsible for coordinating and processing specialty care referrals and authorizations to ensure patients receive timely access to medical services. This role works closely with providers, insurance carriers, and patients to obtain approvals for specialty visits, diagnostic testing, durable medical equipment, home health services, and other medically necessary treatments.
Key Responsibilities
+ Process and manage incoming referral and authorization requests for specialty medical services.
+ Obtain insurance approvals for specialty consultations, radiology, laboratory services, procedures, and ancillary care.
+ Verify insurance eligibility, benefits, and authorization requirements.
+ Coordinate with providers, payers, and patients to ensure complete and accurate documentation.
+ Maintain referral and authorization records within Epic and other healthcare systems.
+ R...
The Referral & Authorization Specialist is responsible for coordinating and processing specialty care referrals and authorizations to ensure patients receive timely access to medical services. This role works closely with providers, insurance carriers, and patients to obtain approvals for specialty visits, diagnostic testing, durable medical equipment, home health services, and other medically necessary treatments.
Key Responsibilities
+ Process and manage incoming referral and authorization requests for specialty medical services.
+ Obtain insurance approvals for specialty consultations, radiology, laboratory services, procedures, and ancillary care.
+ Verify insurance eligibility, benefits, and authorization requirements.
+ Coordinate with providers, payers, and patients to ensure complete and accurate documentation.
+ Maintain referral and authorization records within Epic and other healthcare systems.
+ R...
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