Referral & Prior Auth Rep III
Core
Manages department referrals, coordinates patient appointments, and secures insurance prior authorizations for urology procedures.
Role type
Referral and Prior Authorization Representative
Builds
Patient appointment schedules and insurance authorization approvals
Domain
Healthcare / Urology
Required skills
Medical terminology, surgical/appointment scheduling software, electronic medical records, data analysis, customer relations
Preferred skills
None stated
Technologies
Epic, surgical/appointment scheduling software
Responsibilities
Manage department referrals and coordinate patient appointments; Acquire insurance authorizations for visits and testing; Process incoming and outgoing referrals; Communicate with patients, families, and clinical staff to resolve barriers; Track patient compliance with treatment plans; Prepare complex details for insurance carriers to obtain prior authorizations; Escalate cases requiring medical assessment.
Seniority
Entry-level to Mid-level