Referral Specialist

Job is Expired
Location: Remote
Compensation: Hourly
Staff Reviewed: Tue, Jul 09, 2024

Job Summary

A company is looking for a Referral / Authorization Specialist.

Key Responsibilities:
  • Process authorization requests and provider inquiries accurately and efficiently
  • Verify member eligibility, benefits, and provider contracting status
  • Communicate with healthcare providers, maintain records, and verify benefits information
Qualifications:
  • Proficiency in medical terminology, ICD-10 coding, and prior authorization processes
  • 1+ year of experience in referral and authorization coordination within healthcare
  • High school diploma or equivalent; additional college coursework is advantageous
  • Familiarity with State and Federal healthcare regulations
  • Technical proficiency in using computer systems and software

COMPLETE JOB DESCRIPTION

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