Precert / Authorization Specialist

We are seeking a detail-oriented and organized Authorization & Referral Coordinator to join our healthcare team. The ideal candidate will play a crucial role in managing patient referrals, ensuring seamless communication between patients, healthcare providers, and insurance companies. This position requires a strong understanding of medical terminology, coding practices, and insurance verification processes. The Referral Coordinator will contribute to the overall efficiency of our office while providing exceptional service to our patients.

Responsibilities

Manage and process patient referrals in a timely manner, ensuring all necessary documentation is complete.

Verify insurance eligibility and benefits for referred patients.

Communicate effectively with patients, healthcare providers, and insurance companies to coordinate care.

Maintain accurate records of referrals and follow-up actions in the electronic health record system.

Assist with medical coding using ICD-10 codes as required.

Collaborate with the medical office team to streamline authorization & referral processes and improve patient flow.

Stay updated on managed care policies and procedures to ensure compliance.

Provide support for any inquiries related to referrals or insurance verification. Requirements

Previous experience in a medical office is preferred.

Familiarity with medical coding practices and terminology.

Strong organizational skills with attention to detail.

Excellent communication skills, both verbal and written.

Proficiency in insurance verification processes and managed care systems.

Ability to work independently as well as part of a team.

Proficient in using office software applications for documentation and communication. Join our dedicated team as an Authorization & Referral Coordinator where your skills will make a significant impact on patient care and office efficiency.

Experience:

Insurance verification: 3 years (Required)

Referrals & Authorizations: 3 years (Required) AS A TEAM MEMBER AT CCC, YOU’LL ENJOY:

401(k)

401(k) match – 100% Match on the first 6% that you contribute

Dental insurance

Company Paid Disability Insurance

Health insurance

Company Paid Life insurance

Paid time off

Vision insurance

Wellness Program

It is the Policy of CVL to ensure equal opportunity to all Team members, applicants or any other covered persons in all employment matters, including but not limited to recruitment, hiring, placement, compensation, benefits, training, promotion, transfer. CVL does not discriminate against any qualified individual because of actual or perceived race (including traits associated with race, for example, hair texture and protective hairstyles such as braids, locks, and twists), color, creed, religion, age, national origin, ancestry, citizenship status, sex or gender (including pregnancy, childbirth, related medical conditions and lactation), gender identity or gender expression (including transgender status), sexual orientation, citizenship status, work authorization status.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.

For further information, please review the Know Your Rights notice from the Department of Labor.