Millennium Physician Group

Referrals & Authorizations Specialist II

Millennium Physician Group  •  North Fort Myers, FL (Onsite)  •  18 hours ago
Apply
AI can make mistakes so check important info. Chat history is never stored.

Job Description

The Referrals and Authorization Specialist will assure that all referrals are managed effectively and efficiently for all contracted insurances and organizations. It requires the obtaining of referrals utilizing the available tools and resources and effectively documenting and communicating to providers in a timely manner through the EMR system. 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 departmental policies and procedures.

How will you make an impact & Requirements

Collaborates with referring physician offices to ensure referrals are completed appropriately.

· Ensures that referrals are addressed in a timely manner

· Reviews details and expectations about the referral with patients

· Communicates effectively about the EMR system

· Needs basic knowledge of insurance information (i.e. HMO vs. PPO), classes of insurance andis able toinstruct and explain to the patient

· Makes outgoing calls to patients to inform them of the preferred in network provider that they are being referred to

· Verifies if patient would like assistance in coordinating the appointment

· Verifies with patient that all information is attached to request

· Coordinates scheduling of appointments when appropriate on behalf of patients with specialist offices

· Communicates effectively and professionally with specialist offices

· Assists in sending Athena fax request to specialist office

· Ensures complete and accurate registration, including patient demographic and current insurance information

· Assembles information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist

· Demonstrates the skills of effective communication, decision-making and organization to ensure efficient job performance and job success

· Daily work is accomplished with minimal direct supervision

· Work priorities are setin order toaccomplish task/goals

· Confidential matters are handled appropriately

· Provides high-level customer service to both referring physicians as well as referred patients

· Confidentiality of patient data ismaintained at all times

· Workspace is maintained in an organized and professional manner

· Courteous and professional demeanor isdemonstrated at all times

Millennium Physician Group

About Millennium Physician Group

Founded in Port Charlotte, Florida, in 2008, and now headquartered in Fort Myers, Millennium Physician Group is one of the largest comprehensive physician-led groups with more than 900+ healthcare providers and 200+ locations now including FL, TX, NC, and GA.

Services center on primary care and are complemented by specialty care, walk-in centers, radiology and lab services, physical therapy, telehealth, wellness programs, home health, hospital care, and much more.

Nationally recognized as a leader in value-based care with consistently high levels of physician engagement, Millennium aims to create a genuinely connected healthcare experience for patients by providing a comprehensive and coordinated approach to healthcare… and be Your Connection to a Healthier Life.

Industry
Healthcare & Social Services
Company Size
1,001-5,000 employees
Headquarters
Fort Myers, Florida
Year Founded
2008
Social Media