Insurance Authorization Refer

The Insurance Authorization/Referral Specialist will perform the following:

Obtains authorizations and referrals for hospital procedures and multi-specialties services in a timely manner.
Accurately enters patient and authorization information into both the hospital and clinic system.
Provides training to office staff regarding required information for authorizations Assists clients and staff with basic client account questions.
 Keeps current with trends and developments related to essential job competencies.
Prior to the patient's scheduled procedure, pre-registers patient encounters by collecting complete and accurate patient demographic and guarantor information; collecting complete and accurate insurance information; requesting pre-services payment and checking for medical necessity.
Assists in the orientation and training of new employees.
Maintains knowledge of current hospital policies.
Attends staff meetings and in-services as scheduled.
Demonstrates flexibility in job assignments and scheduling.

The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.

• High School Diploma/GED

• Minimum two (2) years experience with the referral/authorization process and interacting with insurance carriers

Preferred

• College level business courses helpful

• Preferred scheduling experience in a Radiology setting

• Familiarity with the referral/authorization process and interacting with insurance carriers

At the heart of CommonSpirit Health's ministry are the national office departments that provide the foundational support, resources, and expertise that empower local communities to focus on what they do best—caring for patients. Our teams bring together expertise in clinical excellence, operations, finance, human resources, legal, supply chain, technology, and mission integration.

Guided by our faith-based values, the national office fosters consistency, alignment, and innovation across CommonSpirit. By centralizing expertise and leveraging economies of scale, we enable each location to operate efficiently while maintaining flexibility to address unique local community needs. From advancing digital solutions to driving health equity, these departments extend the healing presence of humankindness everywhere we serve.