[Hiring] Referral & Authorization Specialist @UnityPoint Health

Role Description

The Referral and Authorization Specialists play a key role in ensuring that Meriter’s Financial Clearance process is fully complete so that our organization secures optimal reimbursement for services.

• Verify that patient and insurance information is obtained and documented in Epic.
• Activities may include coverage verification, eligibility verification, benefit collection, and authorization procurement.
• Document pertinent detailed information to ensure approved authorizations are in place for scheduled services along with direct admissions.
• Work directly with referring providers in obtaining shared authorizations.
• Maintain great working relationships with members of various hospital departments.
• Have a thorough understanding of insurance plans and patient benefits.

Note: This will be a remote position but we need to train on site for up to 4 weeks. Looking for candidates in the Madison, WI region.

Qualifications

• High School Diploma or equivalent.
• 1-year experience in a healthcare setting performing scheduling, registration, insurance verification, prior authorizations and/or billing functions.
• Experience with, as well as working knowledge of medical terminology and prior Customer Service Experience.
• Knowledge of Healthcare insurance industry and regulations.
• Knowledge of insurance verification using various websites or obtaining information via phone.
• Great written and verbal communication.
• Standard keyboarding skills.
• Knowledge of Healthcare Operations.
• Team Oriented.

Requirements

• Prior EPIC experience, knowledge of insurance terminology, Benefits and processes.
• Previous experience working with/in EPIC system.
• Working knowledge of EPIC – preferred ADT, Resolute, Cadence Referrals, Radiant.
• Working knowledge of Medical Terminology.
• Working knowledge of insurance terminology, including CPT and ICD 10 codes.
• Knowledge of Microsoft Office programs (e.g., Word, Outlook, and Excel).

Benefits

• Paid time off, parental leave, 401K matching, and an employee recognition program.
• Dental, health and vision insurance, paid holidays, short and long-term disability, and more.
• Pet insurance for your four-legged family members.
• Tuition reimbursement to help further your career.
• Adoption assistance to help you grow your family.