Call Center Referral/Authorization Clerk

Under the supervision of the call center coordinator, the authorization and referral clerks facilitate requests for authorizations and referrals under a providers order for the clinic systems.
Duties include, but are not limited to: Receive requests from referring physicians via the electronic medical record, telephone and or fax.
Request prior authorizations form insurance companies; schedule diagnostic procedures, appointments as appropriate.
Provide information to referring physicians offices and notify patients of covered benefits and scheduled appointments.
Initiate, maintain and update tracking systems for incoming and outgoing referrals.
Responsible to track each case for initial referral all the way through the service being provided and the requesting provider receiving the documentation on the services performed or the patient refusing to follow through with the referral.
Document each development timely, consistently and accurately in the EMR.
Perform other assignments as directed.
Behaviors Required Dedicated: Devoted to a task or purpose with loyalty or integrity Preferred Team Player: Works well as a member of a group Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well Motivations Required Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals Preferred Goal Completion: Inspired to perform well by the completion of tasks Self-Starter: Inspired to perform without outside help