Authorization Coordinator
at Medix

Date Posted: 6/24/2019

Job Description

HIRING an Authorization Specialist for one of Orange County's largest healthcare organizations!

  • The Authorization Specialist is responsible for the review and accurate and timely processing of patient referrals requested from providers. Assists physician and other professionals in referral requests and patient placement, responding to all patient, provider, Business Office, UM and other department or facility inquiries.

Essential Job Duties:

  • Responsible for verification of member's eligibility and benefits as needed for services requested.

  • Perform preliminary review and assessment of referral requests for completeness: supporting clinical documentation for the referral request, ICD-10, CPT, and/or HCPC codes.

  • Assists in gathering clinical information needed to substantiate the medical necessity of the requested referrals.

  • Ability to prioritize work, meet departmental productivity standards and maintain compliance per standards.

  • Process HMO and non-HMO referrals according to the established internal process utilizing contracted vendors/providers as determined with an accuracy rate of 98%.

  • Communicates with physician offices, staff, patients, and other departments as needed to ensure collaboration and open discussion regarding referral process. This includes responding to messages within the next business day with compliance rate of 90% or greater.

Perks:

  • Health, Vision, Dental
  • Competitve Pay
  • Weekly pay
Reference number: 86618

Job Snapshot

About Us

Medix provides workforce solutions to clients and creates opportunity for talent representing a variety of industries through our Healthcare, Scientific and Information Technology divisions. We have earned our reputation as an industry leader by providing unsurpassed customer service and top quality professionals to our clients.

At Medix we are extremely dedicated to our candidates, providing them with the best advice, support and direction during their job search. We work with all of our candidates personally to understand their skills and aspirations and best match them with opportunities that fit their goals. As we place contract, contract-to-hire and direct hire employment plans, we offer the flexibility to accommodate your schedule and needs.  We will also provide guidance and support during the interview process.  The benefits at Medix don’t stop there. After being employed for 30 days and averaging 30 hours per week for those 30 days, you become eligible for our benefit program.

Are you looking for a new job? Check out these current opportunities: Healthcare Jobs, Information Technology Jobs and Scientific Jobs