Referral Specialist - Insurance Authorization
Position Details
Req ID:
req19228
Position Title:
Referral Specialist - Insurance Authorization
Position Type:
Staff Full-Time
Position Number:
633937
OSU Campus:
Tulsa - Center for Health Sciences/OSU Medicine
Department:
Surgery
Location Address:
1111 W. 17th St.
Tulsa, Oklahoma, 74107
United States
Hiring Supervisor:
Hiring Range:
(Contingent upon available funding):
16.00 - 18.00, Hourly
Work Schedule:
Typically 8 hours/day, 5 days/week
Faculty Appt Period:
Job Summary:
Job Summary:
The Referral Specialist obtains authorizations for office visits, surgeries, diagnostic tests, and interventions, collaborating with insurance companies to ensure proper documentation and follow-up on requests. They assist the surgery scheduler with coordinating surgeries and pre-operative appointments and collect information on deductibles and copayments. The specialist works with staff to ensure payments are collected or payment plans arranged, supports patients and faculty by managing check-in and check-out processes, and ensures accurate demographic and insurance information. They also handle copayments, prepare medical records, obtain notes from referring physicians, process reports, manage phone inquiries, and provide backup support for Medical Records.
Environmental Hazards:
Possible exposure to hazardous material, hot and cold, blood borne pathogens.
Physical Requirements:
Ability to lift and carry up to 20 pounds, stoop, reach, stand, walk, finger, grasp, feel, talk, hear, see, and perform repetitive motions with or without reasonable accommodations.
Ability to sit for extended periods; utilize computer, monitor, and keyboard for up to eight hours.
Special Instructions to Applicants
IMPORTANT! APPLICANTS PLEASE READ!
For full consideration, please ensure all employment history is correct and complete. An Edit button (on the right) is available which allows you to add information.
In addition, OSU Medicine’s Customer Service Philosophy is:
“We enrich lives by providing compassionate care and amazing service to every life we touch.”
We achieve our service standards with employee behaviors centered on safety, courtesy, presentation, and efficiency.
Safety is:
-Be aware of environment
-Be intentional in your actions
-Ensure accuracy
-Mitigate potential hazards
Courtesy is:
-Welcome and actively engage in a friendly and respectful manner
-Be responsive, polite, and helpful
-Smile
-Demonstrate care and concern
-Show appreciation and say “Thank You”
Presentation is:
-Be professional
-Have a clean and neat appearance
-Maintain a clean and organized work area
-Remember what you represent at all times
Efficiency is:
-Respond to needs in a timely manner
-Organize and prioritize your work
-Be available and respect others’ time
-Be innovative
Education & Experience
Position Qualifications:
Required:
- High School/GED
- 6 (six) month related job experience in a medical office or equivalent experience
- 1+ years' experience with insurance verification or equivalent experience
- Working knowledge of CPT & ICD-10 Codes.
Skills, Proficiencies, and Knowledge:
- Strong organizational, communication, and customer service skills required, along with 25 WPM typing and relevant computer experience; familiarity with EPIC EHR is a plus.
- Effective teamwork with colleagues is essential.
- Logical reasoning skills to assess situations and determine actions are necessary.
- Ability to work independently while maintaining productivity in volume and quality is expected.
- Proficient planning and organization are crucial for optimizing departmental resources.