Referrals & Authorizations Coordinator

Job Description: Referral & Authorization Medical Assistant (100% Phones No Patient Facing)

The Referral and Authorization Specialist is responsible for ensuring patients have been cleared for specialty service office visits; obtaining and issuing referrals for ancillary, consult, radiology or lab visits; receiving approvals for medication formularies, durable medical equipment, home health care and other items or services as needed.

• Resolves, pre-certification, registration and case-related concerns prior to a patients appointment. This includes interacting with patients, insurance carriers and various internal departments 
• Completes the referral process for a patient's ancillary, consultation, radiology or lab visit. The process includes checking insurance coverage, sending approval and receiving confirmation, scheduling appointments, and notifying patients of progress.
• Completes the referral process for a patient's ancillary, consultation, radiology or lab visit. The process includes checking insurance coverage, sending approval and receiving confirmation, scheduling appointments and notifying patients of progress
• Provides backup support for medical practice duties as required
• Attendance for this role is important!!! NO Missed day
• Experience with Referral and Authorization is a plus not required
• The R&A Coordinator will be required to take both inbound and outbound calls
• This role will work from an Auto-Dialer (60 -70 calls per day)
• Metric Goal: 25 Referrals per day
• 4 hours of the day the R&A Coordinator will be taking high volume inbound calls
• This role focuses on Primary Care Physicians referring their patients to Specialist within the Medical Group network
• To be successful in this role a new hire would be focusing on verifying benefits and scheduling patients with Specialist Doctors

Additional Info:

• Experience: Patient Registration, Scheduler, Prior Authorization
• Medical Assistant is Needed for this role or (CNA) Certified Nurse Assistant (Cert is Not Required)
• Medical terminology, Insurance verification, insurance benefit knowledge, referral processing and authorization experience required.
• High school diploma or equivalent (GED)
• Excellent listening skills required.
• Must possess the ability to work independently with strong organizational, communication and interpersonal skills to support the management of multiple priorities with significant attention to detail for project completion.
• Must maintain member confidentiality at all times.
• Metrics: Based on Call Volume, Quality, and First Call Resolution 

Experience Level:

Intermediate Level

About Aston Carter:

Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you.

At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Salary : $18