Referral and Authorization Coordinator

About Us

Upperline Health launched in 2017 and is one of the nation’s leading comprehensive and coordinated lower extremity healthcare organizations. Upperline Health provides the highest quality integrated health services to more patients in need through a skilled and compassionate team. We specialize in targeting patients at risk of developing complications and intervening earlier with an innovative care management approach to prevent more serious consequences. Upperline Health is based out of Nashville, TN and currently has practices in Alabama, California, Florida, Georgia, Indiana, Kentucky, and Tennessee.

About the Referral & Authorization Coordinator Role

Upperline Health Indiana is seeking an energetic, compassionate and driven Referral & Authorization Coordinator to assist our physicians in delivering complex health services in the clinic setting. This person will be based in our Columbus, IN location.

Referral & Authorization Coordinator Responsibilities

• Obtain and verify insurance benefits and eligibility and initiate Referral and Authorization requests for in office services in accordance with the authorization workflow list

• Process requests for referrals, precertification and /or authorizations communicated through EMR, fax, phone or email

• Maintain authorizations and referrals utilizing the EMR system

• Must be familiar with and remain current with all insurance carriers and requirements to include a working knowledge of Referral and precertification processes and medical necessity guidelines

• Responsible for answering, screening, taking messages and providing appropriate information to patients regarding referral, pre-certs, and Authorization needs.

• Focus on providing exceptional customer service and communication with patients and external and internal referral sources

• Demonstrate effective communication skills and written communication skills among all interactions

• May be requested to support and perform other duties as determined by the management team as deemed necessary to the operation of the clinic.

Referral & Authorization Coordinator Requirements

• Previous experience in a clinic or hospital setting assisting a physician with clinical and administrative tasks

• Demonstrate a working knowledge of diagnosis codes and CPT codes related to podiatric care

• Possess a basic knowledge of medical terminology, PC applications and EMR software.

• Reliable and dedicated co-worker who is able to assist the physician in a diverse set of tasks and responsibilities

• An exceptional customer service orientation featuring an empathetic, compassionate and professional demeanor with each interaction

• Tenacious problem solver, with demonstrated capacity to embrace complex problems and arrive at effective solutions in a timely manner

• Enjoys working in a team-based environment with active collaboration

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