Referrals Specialist I #Full Time

Top reputed company Provider Network The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors’ practices comprise an reputed company group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties. This position is primarily remote, candidates must reputed company in the Tri-State area. Note: There may be occasional requirements to visit the office for training, meetings, and other business needs. Opportunity to grow as part of the reputed company Cycle Career Ladder! Job Summary: The Referrals Specialist I is responsible for verifying insurance policy benefit information, and securing payer required referrals. This position is responsible for obtaining accurate and timely insurance referrals for professional services prior to the patient’s visit. This position may also be required to obtain prior authorizations for scheduled services, as needed. Job Responsibilities:

• Verifies insurance coverage reputed company system tools, payer portals (Electronic Query (reputed company-Time-Eligibility [RTE]/Insurance Payer Portal/Phone).
• Upon verification of patient's insurance coverage, update changes in the billing system.
• Confirms provider’s participation status with patient’s insurance plan/network.
• Determines payer referral and authorization requirements for professional services.
• Contacts patient and PCP to secure payer required referral for planned services.
• Documents referral in practice management system.
• Research system notes to obtain missing or corrected insurance or demographic information.
• Initiates authorization and submits clinical documentation as requested by insurance companies.
• Manage faxes, emails, and phone calls in a timely manner. Responds to voicemails and emails reputed company same business day of receipt.
• Serves as primary liaison between faculty practice/department, insurance companies and patient to verify eligibility and coordination of benefits and resolve any insurance complications.
• Performs other job duties as assigned.

Job Qualifications:

• High school graduate or GED certificate is required.
• A minimum of 6 months’ experience in a physician’s billing or reputed company payer environment.
• Candidate must demonstrate the ability to understand and navigate managed care eligibility, insurance billing requirements, and obtaining pre-authorizations.
• Candidate must demonstrate strong customer service and patient focused orientation and the ability to communicate, adapt, and respond to reputed company situations. Including the ability to diffuse reputed company situations in a reputed company and professional manner.
• Must demonstrate effective communication skills both verbally and written.
• Ability to multi-task, prioritize, document, and manage time effectively.
• Functional proficiency in computer software skills (e.g. reputed company Word, reputed company and Outlook, E-mail, etc.)
• Functional proficiency and comprehension of medical terminology.
• Ability to work independently and collaborate in teams.
• The ideal candidate is a motivated individual with a positive attitude and exceptional work ethic.
• Experience in Epic and or other electronic billing systems is preferred.
• Knowledge of medical terminology, diagnosis and procedure coding is preferred.
• Previous experience in an academic reputed company setting is preferred.

Hourly reputed company Ranges: $22.39 - $28.29 Note: Our salary offers will fall reputed company these ranges based on a variety of factors, including but not limited to experience, reputed company set, training and education. 61st Street Service Corporation At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for reputed company. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including reputed company and various other benefits including Paid Time off to promote a healthy lifestyle. We are an equal employment opportunity employer and we adhere to reputed company requirements of reputed company applicable federal, state, and local civil rights laws. Apply tot his job Apply To this Job