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Manage incoming referral requests and move each case through the required review and approval steps for specialty and support services
Secure payer authorizations and coverage verification for consultations, diagnostic testing, medications, medical equipment, home-based care, and other ordered services
Arrange appointments and coordinate related services to help maintain an efficient and consistent patient care experience
Answer patient inquiries involving standard insurance and billing topics, offering clear and accurate information
Educate patients on referral status, approval requirements, and next steps so they understand how to access authorized services
Support the acquisition or rental coordination of medically necessary equipment tied to patient care plans
Record referral activity, authorization updates, and case details accurately within Epic and other required documentation systems
Collaborate with clinical and administrative teams to keep referral workflows organized and ensure services are delivered without unnecessary delays
Requirements:
Prior experience handling referrals, prior authorizations, and insurance verification within a healthcare setting
Hands-on proficiency with Epic is required
Strong organizational skills with the ability to manage multiple active cases and deadlines at once
High attention to detail when reviewing documentation, entering information, and tracking approvals
Effective verbal and written communication skills for working with patients, providers, and insurance representatives
Ability to schedule appointments and support patients through administrative care coordination tasks
Familiarity with routine medical billing and insurance processes is preferred