- Department: ACC Fl Centralized Referral
- Schedule: 8:00am-5:00pm
- Location:Remote
- Must be local to the Jacksonville, FL area
Communicate with patients, participants and staff to accurately schedule patients for prescribed referral.
Help patients navigate through their health care needs by assisting with referrals, insurance authorizations, scheduling appointments, and answering questions.
- Confirm insurance coverage via payer portals and determine necessity for pre-authorization.
- Obtain authorization and process referrals for services ordered by providers.
- Schedule appointments as appropriate and within required timeframes and assuring referrals are maintained within appropriate network and/or payer requirement.
- Remain current on referral policies and procedures, payer requirements, managed care matrix, portals and determines financial responsibility for services to be provided.
- Communicate with patients, healthcare providers, and third-party service providers regarding insurance coverage and barriers to care.
- Document detailed information in the patient medical record and any actions taken regarding authorization status, coverage issues, restrictions and appointment details.
- Notify patients and providers of services requested that are not authorized by insurance.
- High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
- Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
- Experience full lifecycle with referrals for physicians and insurance companies
- Must have experience with obtaining referral approvals/prior authorization from medical insurance payors.
- Experience working with medical insurance benefits and portals, pre-certification and prior authorizations, clinical documentation, and medical terminology
Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
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As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
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Salary Description: From $15.00 an hour