Referral and Authorization Coordinator

Join to apply for the Referral and Authorization Coordinator role at Unio Health Partners

$21.00/hr - $22.00/hr

Unio Health Partners (UHP) is a highly differentiated physician practice management platform with the goal of transforming care delivery across the Western United States. UHP partners with leading physician practices, creating a cohesive, quality-oriented clinical culture and facilitating best practice sharing across the platform. Our affiliated practices gain access to a broader suite of services, providing a meaningful benefit to both physicians and patients.

UHP's best-in-class clinical program covers three sub-specialties (urology, gastroenterology, and radiation oncology) and offers numerous ancillary services, including pathology lab, in-office dispensing, and chronic care management. We are led by a highly accomplished management team and provide a full suite of management services to its affiliated practices. UHP is currently affiliated with 182 providers consisting of 119 physicians and 63 advanced practice providers operating out of 54 locations across Southern, Central, and Northern California.

This non-exempt position in the Operations Department is responsible for performing a variety of duties to maintain an efficient Referrals and Authorizations department which could include obtaining authorizations, scheduling appointments, coordinating physician orders and medical record requests, as well as other various tasks. Communication with staff in all departments is paramount in this position, ensuring that proper care is provided to patients.

This position provides information to patients so they may fully utilize and benefit from the clinical services. This position requires a mature and flexible individual who is able to deal with a wide range of personalities and responsibilities. The individual needs to be highly organized and motivated. This position also requires the individual to be able to prioritize the workload while working independently and to have the initiative to think problems through and seek assistance when needed.

The job holder must demonstrate current competencies applicable to this job description.

• Adheres to the company’s insurance and authorization policy by verifying insurance eligibility and benefits and patient demographics, obtaining authorizations and making detailed notes in the patient’s account including documenting conversation and payment arrangements. Initiates requests for authorizations for all services ordered by the physician if authorization is required for other providers.
• Schedules appointments applicable to the practice.
• Completes facility or referral vendor paperwork.
• Maintains referral vendor contact information and geographic location record system so referral logistics can be easily referenced.
• Ensures that patient scheduling updates, cancellations, or additions are entered into the medical record.
• Respecting/promoting patient rights; respecting patient confidentiality and privacy and communicating in a courteous and respectful manner.
• Responding appropriately to emergency codes.
• Carrying out direct or indirect physician orders accurately.

• High school diploma or general equivalency diploma (G.E.D.) or equivalent job-related experience.
• Minimum one year of recent experience working in a medical facility with front office experience, including insurance eligibility and authorization coordination.
• Demonstrated leadership skills with team members of diverse backgrounds and disciplines.
• Customer service experience.
• Knowledge of Health care field and medical office protocols/procedures.
• Knowledge of Current blood borne pathogen and bio-hazardous waste procedures as they apply to the duties of this position.
• Knowledge of Medical terms and vocabulary.

• Competitive Salary and Health Benefits (Medical, Dental, Vision).
• Generous time off (start accruing on your first day - no waiting period).
• Paid Holidays.
• 401(k).
• Company Discounts.
• Collaborative work environment - we want our employees to have a say in how we run our office.
• Employee Recognition.

Compensation is depending on a number of factors including a candidate’s qualifications, skills, competencies, or experience that may fall outside of the range shown.

• Entry level

• Full-time

• Health Care Provider
• Medical Practices