Referral/Pre-Auth Specialist

Job Summary

A company is looking for a Referral/Pre-Auth Specialist for a full-time remote position.

Key Responsibilities

• Process and document referral or prior authorization requests from clinical areas
• Manage correspondence with patients, physicians, specialists, and insurance companies
• Collaborate with Patient Financial Services to improve the Revenue Cycle process

Required Qualifications, Training, and Education

• Preferred: Business degree or two years of college in a related field
• Minimum of 3 years of experience in insurance within a medical-related field
• Demonstrated experience with insurance requirements for referrals and prior authorizations
• Preferred credentials: Medical Assistant, LPN, or RN