• Reviews work queues to identify unscheduled services and communicates with patient to schedule the services.
• Confirms and secures authorization or pre certification for the patients to receive specialty medical services.
• Educates patients and clinical caregivers regarding referral and authorization requirements, payer coverage, eligibility guidelines, and insurance related trends.
• Responsible for management of EPIC In-Basket and management of requested authorizations across the system.
• Serves as an on-site resource for new and existing caregivers to the department for questions related to work queue process, authorization status and mentorship opportunities.