Perform chart research or collaborate with providers to gather necessary clinical documentation for submissions.Maintain accurate and organized records of referrals and authorizations in Athena.Ensure compliance with HIPAA and other regulatory requirements in handling patient information.Track and document the status of referrals to ensure timely scheduling and follow-up.Communicate with referring providers, patients, and specialists to address questions or issues.Submit and track prior authorization requests for medical procedures, tests, and treatments.Verify insurance eligibility and benefits for requested services.Liaise with insurance companies to resolve authorization denials or delays. Experience:Minimum of 5 years of experience in a healthcare setting, preferably in referrals, authorizations.Familiarity with EMR systems and insurance verification processes.
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Business Administration
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