Referrals & Authorizations Specialist I

**Job Description Summary** ‎  Bilingual Required: Spanish ‎  **How will you make an impact & Requirements** ‎  * Collaborates with referring physician offices to ensure referrals are completed appropriately * Ensures that referrals are addressed in a timely manner * Reviews details and expectations about the referral with patients * Communicates effectively about the EMR system * Needs basic knowledge of insurance information (i.e. HMO vs. PPO), classes of insurance and is able to instruct and explain to the patient * Makes outgoing calls to patients to inform them of the preferred in network provider that they are being referred to * Verifies if patient would like assistance in coordinating the appointment * Verifies with patient that all information is attached to request * Coordinates scheduling of appointments when appropriate on behalf of patients with specialist offices * Communicates effectively and professionally with specialist offices * Assists in sending Athena fax request to specialist office * Ensures complete and accurate registration, including patient demographic and current insurance information * Assembles information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist   * Demonstrates the skills of effective communication, decision-making and organization to ensure efficient job performance and job success * Daily work is accomplished with minimal direct supervision * Work priorities are set in order to accomplish task/goals * Confidential matters are handled appropriately * Provides high-level customer service to both referring physicians as well as referred patients * Confidentiality of patient data is maintained at all times * Workspace is maintained in an organized and professional manner * Courteous and professional demeanor is demonstrated at all times