PedIM Healthcare · 12 hours ago
Authorizations / Referrals Coordinator
Lecanto, Florida
Full-time
Onsite
Entry Level
1+ years expPedIM Healthcare is a patient-oriented medical practice providing care to adult and pediatric patients. They are seeking an Authorizations / Referrals Coordinator responsible for processing referrals and obtaining authorizations from insurance companies in a timely manner.
Health CareMedical
Responsibilities
Verify insurance eligibility and benefits as it relates to the services rendered
Obtain all referrals and authorizations as needed from payer for services
Resolve patient and payer requests, inquiries and concerns in an expedient and respectful manner
Ensure all authorizations and verifications have been completed and recorded in the system in a timely manner to avoid scheduling issues
Inform management of any pending authorization or verification issues which might delay ability to perform scheduled procedures
Maintain knowledge of and work in compliance with all HIPAA guidelines
Perform related duties as assigned by the supervisor
Maintain compliance with all company policies and procedures
Qualification
Required
Verify insurance eligibility and benefits as it relates to the services rendered
Obtain all referrals and authorizations as needed from payer for services
Resolve patient and payer requests, inquiries and concerns in an expedient and respectful manner
Ensure all authorizations and verifications have been completed and recorded in the system in a timely manner to avoid scheduling issues
Inform management of any pending authorization or verification issues which might delay ability to perform scheduled procedures
Maintain knowledge of and work in compliance with all HIPAA guidelines
Perform related duties as assigned by the supervisor
Maintain compliance with all company policies and procedures
Minimum Education: High School Diploma or GED
Clean Background Check
Preferred
1 year working in insurance, insurance verification, and/or customer service
Company
PedIM Healthcare
Pediatric and Internal Medicine Specialists, PA (PedIM Healthcare™) is the first private medical office of its kind in Citrus County.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase