Job Information
Robert Half Insurance Referral Coordinator in Cincinnati, Ohio
Description
We are looking for a dedicated Insurance Referral Coordinator to join our client's team. In this role, you will play a crucial part in managing prior authorizations for prescription medications and medical services, ensuring patients receive timely and appropriate care. This is a long-term contract position within the healthcare industry, offering an excellent opportunity to contribute to patient-centered care.
Responsibilities:
• Review and gather necessary documentation, including medical records and physician recommendations, to support prior authorization requests.
• Submit and track authorization requests with insurance providers, ensuring timely approvals for prescribed medications and medical services.
• Communicate effectively with patients, healthcare providers, and insurance representatives to address authorization-related issues and facilitate resolutions.
• Monitor and update the status of authorization requests, notifying healthcare teams about approvals, denials, or pending cases.
• Stay informed about insurance policies and regulations to enhance efficiency and compliance in the authorization process.
• Analyze trends in insurance denials and collaborate with teams to resolve escalations, appeals, or resubmissions.
• Maintain accurate and secure records of authorization activities in compliance with healthcare guidelines.
• Provide support in identifying process improvements to streamline prior authorization workflows.
Requirements • Minimum of 2 years of experience in prior authorizations or a related field.
• Proficiency in managing patient medical records and familiarity with Epic EMR systems.
• Strong knowledge of medical insurance policies and verification processes.
• Excellent communication skills to liaise with patients, providers, and insurance companies.
• Ability to analyze data and identify trends related to authorization denials.
• Detail-oriented with the ability to maintain accurate and compliant documentation.
• Understanding of healthcare regulations and insurance guidelines.
• Problem-solving skills and a proactive approach to resolving authorization challenges. TalentMatch®
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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