Authorization and Referral Coordinator - Per Diem - Boynton Beach, FL
On-site · Boynton Beach, Florida, United States
Job Summary
Authorization and Referral Coordinator role in a dermatology office focused on coordinating patient referrals, verifying insurance, handling pre-authorizations, and scheduling with specialists. Responsibilities include reviewing referral requests for accuracy, gathering information from referring providers, communicating with patients about the referral process, maintaining accurate EHR records, generating referral status reports, verifying insurance coverage, coordinating with billing and insurance teams, navigating IPA/HMO portals (Optum, Hoag Physician Partners, Availity), scheduling appointments, tracking referral progress, and collaborating with administrative staff and healthcare providers to optimize workflows. Requires strong organizational skills, attention to detail, and the ability to work both independently and with a team.
Required Qualifications
- High school diploma or equivalent
- Experience in insurance eligibility verification and prior authorization within a medical setting
- Proficiency in medical terminology, insurance processes, and electronic health record systems
- Excellent verbal and written communication skills
- Ability to work independently and collaboratively in a fast-paced healthcare environment
- Familiarity with navigating IPA/HMO portals such as Optum, Hoag Physician Partners, and Availity
Desired Qualifications
- Experience in insurance eligibility verification
- Experience with prior authorization in a medical setting
- Proficiency in medical terminology
- Electronic health record (EHR) systems experience
- Strong verbal and written communication skills
- Ability to work independently and collaboratively in a fast-paced healthcare environment
- Familiarity with IPA/HMO portals (Optum, Hoag Physician Partners, Availity)
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