Referral And Prior Authoriziation Specialist

University of Rochester

Brighton, New York, United States of America
Hourly: $19.62 - $26.49; bonus/equity: not specifi...
Manage department referrals
Acquire insurance authorization
Document communications in ehr
The University of Rochester is defined by a deep commitment to Meliora - Ever Better, fostering an inclusive community based on equity, leadership, and integrity

Job Summary

  • The University of Rochester is defined by a deep commitment to Meliora - Ever Better, fostering an inclusive community based on equity, leadership, and integrity.
  • This role serves as a critical liaison between referring offices, specialists, and patients to coordinate visits, procedures, and ensure treatment compliance.
  • The specialist must possess expert knowledge of insurance policies, ICD/CPT codes, and medical necessity protocols to successfully obtain prior authorizations for complex requests.

Matching Summary

The University of Rochester is defined by a deep commitment to Meliora - Ever Better, fostering an inclusive community based on equity, leadership, and integrity.

Salary

Hourly: $19.62 - $26.49; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Manage department referrals
  • Acquire insurance authorization
  • Document communications in EHR
  • Apply ICD and CPT codes
  • Coordinate complex scheduling

Nice-to-have

  • Demonstrated customer relations skills
  • Experience with Epic system
  • Knowledge of medical terminology
  • Ability to troubleshoot denials
  • Collaborative care team member

Key Requirements

  • High School diploma or equivalent
  • 2 years of relevant experience
  • Medical terminology knowledge preferred
  • Scheduling software experience preferred
  • Electronic medical records experience preferred

Work Rights

Not specified

Tailored Resume

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