Job description

61st Street Service Corporation

At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.

We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws. Please be advised that the corporation requires COVID-19 vaccinations for all employees unless an exemption request for a disability / medical or religious accommodation has been approved.

Job Summary:

The Referrals & Authorization Specialist I is responsible to ensure that patients have been authorized for specialty services and office visits. May act as a liaison between the patient, provider/referring provider, primary care provider, and other parties involved in the plan of care. Appropriately link referrals for identified visits.

Job Responsibilities:

• Ensure patients have been cleared for specialty services and office visits.
• Resolve authorization concerns prior to any patient's appointment.
• Confirm insurance coverage or lack thereof for patient.
• Obtain authorizations if needed from insurance coverage.
• Process preauthorization forms for requesting physician office or provider.
• Process patient referrals and link referrals for identified visits.
• Apply clinical data/knowledge to assist patients in gaining appropriate physician, hospital, and medical referrals.
• Perform administrative and clerical duties, including answering telephones, and greeting patients.
• Perform related duties as assigned within scope of practice.

Job Qualifications:

• High school graduate or GED certificate is required.
• A minimum of 6 month’s experience in a physician billing or third party payer environment.
• Candidate must demonstrate working knowledge of contracts, insurance benefits, exclusions and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations.
• Candidate must demonstrate the ability to understand and navigate the payer adjudication process.
• Candidate must demonstrate a strong customer service and patient focused orientation.
• Must demonstrate effective communication skills both verbally and written.
• Ability to multi-task, prioritize, and manage time effectively.
• Functional proficiency in computer software skills (e.g. Microsoft Word, Excel and Outlook, E-mail, etc.)
• Ability to work independently.
• The ideal candidate is a motivated individual with a positive attitude and exceptional work ethic.
• Patient financial and practice management system experience in Epic and or other of electronic billing systems is preferred.
• Knowledge of medical terminology is preferred.
• Previous experience in an academic healthcare setting is preferred.

Job Type: Full-time

Pay: From $25.27 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift

COVID-19 considerations:
New York State Department of Health (NYSDOH) continues to require masking by patients, visitors, and HCP (healthcare personnel) in all healthcare settings

Education:

• High school or equivalent (Required)

Experience:

• physician billing: 1 year (Required)

Work Location: One location

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