• Insurance Referral Coordinator

    Robert Half Office Team (Blue Ash, OH)


    Description

    We are looking for a dedicated Insurance Referral Coordinator to join our client's team in Blue Ash, Ohio. This role involves managing prior authorization processes, ensuring patients receive timely approvals for prescription medications and other healthcare services. As part of this long-term contract position, you will play a pivotal role in facilitating communication between healthcare providers, patients, and insurance companies.

    Responsibilities:

    • Review and compile necessary medical documentation to support authorization requests, including physician recommendations and patient records.

    • Submit prior authorization requests to insurance providers and diligently follow up to ensure timely approvals for essential medical services.

    • Communicate effectively with healthcare providers, patients, and insurance representatives to address and resolve authorization-related concerns.

    • Track authorization statuses and promptly notify healthcare teams regarding approvals, denials, or pending requests.

    • Stay informed about current insurance policies and regulations to optimize the authorization process.

    • Investigate patterns of denied authorizations and collaborate with teams to handle appeals, escalations, or resubmissions.

    • Maintain organized records and detailed reports of authorization activities, adhering to compliance standards and organizational guidelines.

     

    Requirements • Minimum of 2 years of experience in prior authorization or a similar role within the healthcare industry.

     

    • Proficiency in handling patient medical records and familiarity with Epic EMR systems.

    • Strong knowledge of medical insurance processes, including verification and authorization.

    • Excellent communication and problem-solving skills to liaise between healthcare providers, patients, and insurers.

    • Ability to work efficiently in a fast-paced environment while maintaining attention to detail.

    • Knowledge of prescription medication requirements and associated insurance policies.

    • Commitment to maintaining confidentiality and compliance with healthcare regulations. TalentMatch®

     

    Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

     

    Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

     

    All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

     

    • 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .