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Referral Specialist

Healthcare Support • Rancho Cordova, CA

Posted 2 months ago

Job Snapshot

Full-Time
Experience - 1 years
Healthcare - Health Services
Health Care

Job Description

Are you an experienced with the handling authorizations for outpatient and inpatient treatment and/or procedures?  Have you worked with medical claims or communicated with health plan members in a call center environment?  Are looking for a new opportunity with a large, well-known, managed health care provider that is VERY well known in California?  If you answered “yes" to any of these questions – this is the position for you!

Daily Responsibilities of the Referral Specialist: 

  • Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization guidelines
  • Verify eligibility and benefits
  • Answer phone queues and process faxes within established standards
  • Data enters authorizations into the system

Requirements of the Referral Specialist:

  • Minimum of 2+ years of experience in a medical or health plan environment  
  • Knowledgeable with medical terminology, referrals, and prior authorization requests
  • Comfortable working in a fast-paced environment handling multiple priorities  

Hours for this Referral Specialist Position:

  • Monday – Friday, 8:30am – 5pm

Advantages of this Referral Specialist Opportunity:

  • Competitive salary, negotiable based on relevant experience
  • Benefits offered, Medical, Dental, and Vision
  • Fun and positive work environment

Interested in being Considered for this Referral Specialist position?

If you are interested in applying to this position, please click Apply Now for immediate consideration.

James.wallen@healthcaresupport.com

Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Job ID: BHJOB4021_69489
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