Physician Authorization Specialist
Nemours
As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own. Job DescriptionThe Physician Referral/Authorization Specialist is responsible for obtaining and processing Elective, Urgent, and Emergent referrals and authorizations for physician based services and some office based services, including but not limited to cardiology and audiology tests. The Physician Referral/Authorization Specialist is also responsible researching and notifying family of co-payment responsibilities. Referrals and authorizations are obtained prior to the date of service as per department standards. During the referral process the Physician Referral/Authorization Specialist will partner with the Primary Care Practitioner to obtained required referrals. During the authorization and notification process the Specialist will provide the payor with all patient information and requested documentation necessary to obtain admission approval. Essential Functions:
QUALIFICATIONS
Schedule: Monday through Friday, 8:30 am to 5:00 pm. Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.
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