Physician Liaison

Overview

• Verification of order received from physician and insurance information verification.
• Accurate and timely determination of authorizations required.
• Validate that required authorizations are obtained and monitored for appropriateness of the procedure.
• Adherence to government and non-government program requirements.
• Effectively communicate with Scheduling and Patient Access regarding authorization/program requirements, personal payment liabilities, and care placement options.
• Provide information to Scheduling and Patient Access when authorizations are delayed, denied, or rescheduling procedures have no other options.

Demonstrated expertise in insurance authorization confirmation and follow-up. Demonstrated knowledge of Patient Access, Medical Records, and related departments and their impact on reimbursement. Ability to work well with a variety of positions, including physicians, nurses, Patient Access, and Patient Financial Services staff. Proficient with Microsoft Office Suite, AS400 applications, and database management. Ability to utilize software applications to maximize automation and efficiency.

Able to learn new software applications and/or programs as needed.

EXPERIENCE: Minimum of 1 year experience working with Commercial Insurance, Medi-Cal and Medicare insurance verification, pre-authorizations and authorizations preferred.