Referral Specialist Authorization Specialist at Rome Health

Rome Health is seeking a Referral Specialist - Authorization Specialist who will schedule appointments for patients for testing and/or to see specialists as ordered by the patients provider of care. The Referral Specialist will: Adhere to Rome Healths Compliance Plan Policies and Procedures HIPAA Privacy and Security Safety and PCMH Health Policies to maintain a quality level of service for patients and protect the confidentiality of patients Protected Health Information (PHI). Answer phone calls and assist patients with questions as needed. Maintain ongoing tracking and appropriate documentation of referrals. Assemble information concerning patients clinical background and referral needs. Per referral guidelines provide appropriate clinical information to specialist. Contacts insurance carriers to obtain and ensure prior approval requirements and/or authorizations are met. Present necessary medical information such as history diagnosis and prognosis. Records time and date of appointment and method of patient notification in EMR. In coordination with guidelines for PCMH review details and expectations about the referral with the patient explaining any special instructions regarding test ordered and provides written instructions as applicable. Ensures that referrals are addressed in a timely manner. Contact patients with scheduled appointments via mail or phone. Maintains good communication skills with providers supervisors coworkers patients and other departments as applicable. Performs other related duties as necessary to maintain efficient workflow. Answering phones and other receptionist duties included. SKILLS AND QUALIFICATIONS: High School diploma Knowledge of referral process and insurance industry. Organized meticulous with great attention to detail and able to manage priorities. Effective verbal and written communication skills.About Rome HealthRome Health is a non-profit health care system based in Rome N.Y. providing services to patients throughout Central New York. From primary and specialty care to long-term care Rome Health delivers quality compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Josephs Health and an affiliated clinical site of New York Medical College. The best care out there. Here.Required Experience:IC Key Skills Sales Experience,Crane,Customer Service,Communication skills,Heavy Equipment Operation,Microsoft Word,Case Management,OSHA,Team Management,Catheterization,Microsoft Outlook Calendar,EHS Employment Type : Full-Time Experience: years Vacancy: 1 Hourly Salary Salary: 17 - 19