Clinical Administrative Support II

Ambulatory Access Coordinator II Referrals As an Ambulatory Access Coordinator II Referrals, you will be responsible for a wide variety of tasks associated with patient care referrals; ensure the timely processing of insurance authorizations; work in collaboration with clinical staff and other departments to maximize efficiency; assist patient with referral-related questions and issues. Compensation Pay Range: $20.05 - $26.98 Essential Functions 1. Log onto phone system at scheduled time and answers all incoming calls in a prompt, courteous and helpful manner, routing them to the appropriate extension and responding to requests for information. 2. Processes test/procedure referral requests for all patients: Reviews each referral to determine special services/procedures being requested. Informs the patient of providers/facilities used by SSMC and provides contact information so the patient may schedule the appointment. Updates the patient's referral within the EMR to reflect status changes and document additional information as needed. Obtains insurance-specific authorization and communicates to patients and/or facilities with insurance issues. Provides referring facility with clinical information needed to support medical necessity or continuation of care. Processes Worker's Compensation prior authorizations for diagnostic imaging and procedures, as needed. Communicates requests from patients who wish to seek care outside SSMCs preferred providers. Requests'reconsiderations (peer-to-peer)' discussion from provider for insurance denials via referral message. Communicates issues to PCP/ Triage via Telephone Encounters. Processes faxed prior authorization / denial requests. Monitor EPIC messages including, but not limited to, MyChart messages for prior authorization requests by securing referral authorizations and posted to internal order and faxing outside order to facility. 3. Works independently to complete daily assignments by the end of the shift and long term assignments by established deadline. 4. Embraces technological solutions to work processes and practices. 5. Staff will work to enhance the patient experience in every interaction. 6. Staff is able to independently manage daily office functions: Able to perform multiple work tasks efficiently and effectively. Able to maintain a high level of concentration at all times. Able to work under pressure and to maintain composure during stressful situations. Able to complete tasks according to assigned deadlines. Utilizes critical thinking and problem solving in day-to-day operations as well as in emergent situations. Communicates appropriately and effectively following chain of command. Job Requirements Minimum Education: High school diploma or equivalent Minimum Work Experience: One (1) year of experience in healthcare setting required Epic Experience preferred Required additional Knowledge, and Abilities: Excellent customer service skills Excellent verbal and written communication skills Excellent computer skills with knowledge of various software applications including Microsoft office (Word, Excel, Outlook) Excellent interpersonal skills Ability to meet demanding deadlines and balance multiple tasks Ability to work both independently and as part of a team to complete daily assignments by the end of the shift and long term assignments by established deadline. Detail oriented with excellent organizational and prioritization skills Monday - Friday 8:00am -4:30pm Responsibilities if Required: Education if Required: License/Registration/Certification Requirements:

Created: 2026-03-05