Referral/Pre-Auth Specialist

Job Summary

A company is looking for a Referral/Pre-Auth Specialist - Remote (OR, WA, AK).

Key Responsibilities

• Receive, process, and document referral or prior authorization requests from clinical areas
• Manage correspondence with patients, physicians, specialists, and insurance companies, ensuring compliance with documentation requirements
• Collaborate with Patient Financial Services to enhance the Revenue Cycle process and improve Managed Care communication and patient care

Required Qualifications

• Education: Preferred completion of an accredited school in Business or two years of college in a related field
• Experience: Minimum of 3 years in insurance within a medical-related field
• Demonstrated experience with insurance requirements for referrals and prior authorizations
• Credentials: Preferred certifications include Medical Assistant, LPN, or RN