Authorizations & Referral Scheduler

Upstate University Hospital   Syracuse, NY   Full-time
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Authorizations & Referral Scheduler

Apply now Job no: 74236
Department: Nursing-Peds Specialty Ctr
Employer: State of New York
Payroll Title: TH Staff Assistant 2, NSSL1
Bargaining Unit: UUP (State University Professional Services Unit)
Salary: Commensurate with qualifications
Work type: Full-time
Location: Syracuse
Categories: Administrative, Secretarial & Clerical

Job Summary: The Authorizations & Referral Scheduler will primarily be responsible for specialist referrals for patients from the department appointment report (DAR), and insurance authorizations for pediatric specialty services, including authorizations for office visits, inpatient admissions, outpatient procedures, diagnostic tests and lab work. Correct Epic registration problems that cause insurance errors, subscriber mismatches and incorrect billings to go out. Keep current with all insurance carrier policy changes, in network vs out of network providers and new policy offerings and their benefits. Obtain and provide letters of medical necessity when needed, especially for Genetics and out of state labs, or other specialized testing.
Minimum Qualifications:

Associate's degree and two (2) years relevant insurance referrals and authorizations experience in a healthcare related setting or equivalent combination of education and relevant experience required. Knowledge of medical terminology required. Excellent written/oral communication skills required.

Preferred Qualifications:

Outpatient clinic experience preferred. Knowledge of CPT and ICD-10 is preferred.

Work Days:

Monday-Friday, days

Message to Applicants:  
Recruitment  Office: Human Resources
Executive Order: Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.gov.              

 

We are an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran status or disability or other protected classes under State and Federal law.

Advertised: Eastern Standard Time
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Upstate University Hospital

Syracuse, NY