Authorizations & Referrals Specialist - Per Diem

Overview

Description
Island Health is searching for an experienced Authorizations & Referrals Specialist for our Patient Access department at our hospital in Anacortes, WA.

• Per Diem / Variable

• Onsite / Anacortes, WA

$20.41 - $30.61

• Medical, Vision, & Dental Insurance
• Paid Time Off
• Extended Illness Benefit
• Life Insurance
• Long-Term Disability
• Vested Retirement Contribution
• Flexible Spending Account
• Tuition Reimbursement
• Employee Assistance Program
• Employee Recognition Events
• And More!

• Completes referral and authorization processes with ICD-10 and CPT codes, pertinent documentation and Diagnostic information.
• Verifies active primary insurance coverage in electronic worklists
• Documents chart notes and confirmation of service in EMR.
• Facilitates routing and release of patient record and other information to Scheduler in order to assist the patient with their appointment.
• Discusses and clarifies insurance coverage and problems with referrals with patients.
• Verifies ordered services meet CMS Medical Necessity requirements
• Sends patients notes of approval/denial of referral or authorization when applicable.
• Work patient electronic worklists daily
• Works collaboratively with team to assure referrals are processed timely
• Keeps abreast of new insurance and payer information, contractual updates, or developments as provided.
• Must have demonstrated ability to interact positively with Administration, Director, Managers, Supervisors, peers, co-workers, subordinates, patients and visitors.
• Must meet regular attendance standard and must stay at or below average sick leave utilization levels.
• Employee will function at all times within guidelines established in the Island Hospital HIPAA Compliance Policy and Confidentiality agreements.

• High School diploma or GED required.
• Must maintain expectations outlined in work from home agreement.
• Additional education or training in ICD-10 Coding encouraged.

While performing the duties of this position, the employee is exposed to inside environmental conditions, protected from weather conditions but not necessarily from temperature changes. The employee may be exposed to dust, pollens, pollutants, fumes and communicable diseases as related to a health care environment. The noise level in the work environment is usually moderate.

While performing the responsibilities of this position, the employee is regularly required to talk, and have hearing sufficient to understand conversations, both in person and on the telephone. The employee is often required to sit for potentially long periods of time throughout the workday. Manual dexterity of hands and fingers, to handle or feel and to manipulate keys on a keyboard.

The employee is occasionally required to stand; walk, climb or balance; stoop, kneel, or crouch; lift and/or move up to 25 pounds and use hands to finger, handle, or feel objects, tools, or controls, and reach with hands and arm. Vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus sufficient to operate computer systems.

Reasonable accommodation can be made to enable people with disabilities to perform essential functions of this position in relation to the physical demands detailed above.

Join our award-winning team and apply today!