Referral Authorization Specialist

Referral Authorization Specialist

Location: Olean General Hospital
Location of Job: US:NY:Olean
Work Type: Full-Time
Shift 1

Job Description

Assures that all referrals are managed effectively and efficiently for ancillary testing. Provides high-level customer service to both referring physicians as well as referred patients. Obtains pre-authorization for all ancillary tests and performs additional administrative support functions. 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 the insurance criteria and regulations as it pertains to ancillary testing of the carrier contracts/changes. This position can be reassigned to any location within OGH/BRMC offices as may be required to meet business needs.

Education And Credentials

High School diploma or equivalent. Completion of an accredited Licensed Practical Nurse program for LPN applicants.  Current and valid driver's license. Current and valid Pennsylvania LPN license; LPN applicants only.

Experience

Two (2) years' experience in a medical office setting with experience working with billing and insurance. LPN applicants must have two (2) years' experience in a physician office setting with experience working with billing and insurance. Visual and auditory acuity, manual dexterity, language and interpersonal skills. Knowledge of personal computer and word processing preferred. 

Working Conditions

Department: OGH Practice Management
Standard Hours Bi-Weekly: 0.00
Weekend/Holiday Requirement: No
On Call Required: No
With Rotation: No
Scheduled Work Hours: 8a-4p
Work Arrangement: Onsite
Union Code: N35 - Non Union OGH
Requisition ID#: 17624
Recruiter: Erica R. Babcock
Grade:  OLH2
Pay Frequency: Bi-Weekly
Salary Range: $16.00 - $21.66

*Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement. 

Olean General Hospital’s mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and Olean General Hospital envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community.  Olean General Hospital is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!