Insurance Representative - Cardiology

Cardiology Referral Coordinator

Help patients navigate through their health care needs by assisting with referrals, insurance authorizations, scheduling appointments, and answering questions.

• Confirm insurance coverage via payer portals and determines necessity for pre-authorization.
• Obtain authorization and processes referrals for services ordered by providers.
• Schedule appointments as appropriate and within required timeframes and assuring referrals are maintained within appropriate network and/or payer requirement.
• Remain current on referral policies and procedures, payer requirements, managed care matrix, portals and determines financial responsibility for services to be provided.
• Communicate with patients, healthcare providers, and third-party service providers regarding insurance coverage and barriers to care.
• Document detailed information in the patient medical record and any actions taken regarding authorization status, coverage issues, restrictions and appointment details.
• Notify patients and providers of services requested that are not authorized by insurance.

Education:

• High school diploma OR equivalent required.

Work Experience:

• 2+ years prior authorization experience required.

Ascension St. Vincent's is expanding in the fastest-growing county in Northeast Florida with the addition of a fourth regional hospital, Ascension St. Vincent's St. Johns County. Serving Northeast Florida and Southeast Georgia, Ascension St. Vincent's has been providing caregivers in every discipline a rewarding career in healthcare since 1873.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

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