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TEKsystems

Referral Authorizations Coordinator_

TEKsystems, Bellevue, Washington, United States, 98005


Description:Performs a wide range of administrative duties to include referral processing, patient registration, verification of benefits, insurance authorizations, patient appointment scheduling, program communication to potential candidates, communication with referral sources.+ Interacts professionally and effectively with clinicians, patients, referring providers, and insurance companies+ Verifies insurance eligibility and benefits, utilizing automated eligibility systems, payer portals, or telephone communication+ Maintains organized, detailed summaries of prior authorization/referral requests+ Manage incoming referrals from, but not limited to, other clinics, online requests, and obtain prior authorizations/referrals and schedules patients accordingly.+ Review scheduled appointments to ensure accuracy of insurance eligibility and referral requirements+ Maintain a working knowledge of health care plan requirements and health plan networks.+ Able to triage incoming calls and request documents needed from provider groups/patient for referral/authorization of services, questions, status updates.Additional Skills & Qualifications:Hard Skills:+ Experience verifying insurance utilizing online portals+ 2 -year experience in insurance referral coordination/medical office required+ Next Gen AND Epic experience preferred+ Phone, fax, MyChart and email correspondence experience.Soft Skills:+ Effective communication skills+ Ability to work in high volume patient environment+ Strong attention to detail+ Self-directed/MotivatedWork Environment+ Monday through Friday, 40 hours per week, 8:30am to 5pm. (Training hours may vary between business hours 7am to 5pm, Monday through Friday.)+ 90 days of in office training required, with a potential hybrid schedule after the training period is completed.+ Training will be in person between the Bellevue and possibly Redmond offices for at least the first 90 days, with the option to work a hybrid schedule. We must feel comfortable they are fully trained and able to be productive while working from home.We reserve the right to pay above or below the posted wage based on factors unrelated to sex, race, or any other protected classification.Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. This temporary role may be eligible for the following:+ Medical, Dental & Vision+ 401(k)/Roth+ Basic/Supplemental Life & AD&D+ Short and long-term disability+ HSA & DCFSA+ Transportation benefits+ Employee Assistance Program+ Company Paid Time off or State Sick LeaveAbout TEKsystems:We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.