Preauthorization/Referrals Specialist

Canyon View Medical Group is seeking the services of a Preauthorization/Referrals Specialist in our Family Medicine Clinics located in Mapleton and Springville, Utah. This position is responsible to assist patients by helping them coordinate care and scheduling with specialists and/or diagnostic testing.

Primary Responsibilities:

• Responds to questions, requests and concerns regarding the status of patient referrals, care coordination or follow-up status. Contacts patients regarding pending referrals and/or diagnostic testing.
• Verifies referral and authorization requirements are met according to insurance and policy standards. Completes referral process within required time frame.
• Schedules, problem solves, communicates, and coordinates referral appointments with outside specialists.
• Documents and tracks referral information in the electronic medical record system.
• Requests, tracks and obtains prior authorization from insurance carriers within time allotted for medical services.
• Where needed, verifies patient demographic and insurance information.
• Protects patients' rights by maintaining confidentiality of personal and financial information.
• Maintains operations by following policies and procedures.
• All other duties as assigned.

Position Qualifications:

• High School Degree or Equivalent.
• 40 WPM Typing, verifiable
• Working knowledge of general medical office procedure and medical terminology.
• Strong customer service skills required.
• General computer skills required, including the ability to use the internet and learn other computer applications successfully.
• Must demonstrate effective communication, interpersonal, and organizational skills.
• Excellent Problem Solving Skills necessary.
• Must be able to follow instructions.