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Referral Authorization Specialist

Kaleida Health

BRADFORD, PAFull-time$16–21.66/hrSeen todaySeen in employer's feed today

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At a glance

Compensation
$16–21.66/hr
Location
BRADFORD, PA
Schedule
Full-time
Work Authorization
Not specified

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Requirements

Credentials this posting asks for.

Pennsylvania LPN LicenseValid Driver's License

Job overview

The Referral Authorization Specialist manages referrals for ancillary testing, provides customer service to referring physicians and patients, obtains pre-authorizations, and performs administrative support. The role applies policies and procedures and uses independent judgment in a medical setting. It requires maintaining knowledge of insurance criteria and regulations related to ancillary testing and carrier contracts or changes. The position may be reassigned to OGH/BRMC offices as business needs require.

Skills & qualifications

RequiredNice to have

Skills

Referral ManagementCustomer ServicePre-AuthorizationAdministrative SupportPolicy InterpretationIndependent JudgmentInsurance CriteriaBilling and InsurancePersonal ComputerWord ProcessingVisual and Auditory AcuityManual DexterityLanguage SkillsInterpersonal Skills

Qualifications

High School Diploma or EquivalentAccredited LPN ProgramValid Driver's LicensePennsylvania LPN License2 Years Medical Office Experience2 Years Physician Office Experience

Full job description

Referral Authorization Specialist Location: Bradford Regional Medical CntrLocation of Job: US:PA:BradfordWork Type: Full-TimeShift 1 Job Description Assures that all referrals are managed effectively and efficiently for ancillary testing. Provides high-level customer service to both referring physicians as well as referred patients. Obtains pre-authorization for all ancillary tests and performs additional administrative support functions. This job requires the application and interpretation of policies and procedures and the use of independent judgment in a medical setting. The individual must possess the ability to maintain a working knowledge of the insurance criteria and regulations as it pertains to ancillary testing of the carrier contracts/changes. This position can be reassigned to any location within OGH/BRMC offices as may be required to meet business needs. Education And CredentialsHigh School diploma or equivalent. Completion of an accredited Licensed Practical Nurse program for LPN applicants. Current and valid drivers license. Current and valid Pennsylvania LPN license; LPN applicants only. Experience Two (2) years experience in a medical office setting with experience working with billing and insurance. LPN applicants must have two (2) years experience in a physician office setting with experience working with billing and insurance. : Visual and auditory acuity, manual dexterity, language and interpersonal skills. Knowledge of personal computer and word processing preferred. Working Conditions Job DetailsDepartment: BRMC Practice ManagementStandard Hours Bi-Weekly: 75.00Weekend/Holiday Requirement: NoOn Call Required: NoWith Rotation: NoScheduled Work Hours: 8-5Work Arrangement: OnsiteUnion Code: N35 - Non Union OGHRequisition ID#: 24915Recruiter: Erica R. BabcockGrade: OLH2Pay Frequency: Bi-WeeklySalary Range: $16.00 - $21.66*Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement.Olean General Hospitals mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and Olean General Hospital envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. Olean General Hospital is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!

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