Authorization / Referral Specialist at Berkshire Health Systems – Pittsfield, Massachusetts

Responsible for selected fiscal aspects of scheduled/registered accounts to prepare account for billing, assuring maximum payment on a timely basis, and maintenance of accurate history files. The position is also
responsible for daily review of selected scheduled/registered patients to assure a solid source of re-imbursement is in place.
The position will obtain all authorizations to avoid insurance denials and assure timely and appropriate third party reimbursement.
They will handle inquiries and response of the appeals process.
Responsible for all inquiries from patients, families, professional and institutional providers, inter and intra department staff, Government and third party payers, case management companies, patient accounting, clinical department staff, and case managers until the time of billing.
Acts as a patient advocate for patients with self-pay liabilities by informing them of hospital collection policy, and referring them to the Advocacy for Access Office.