Referral Specialist
Waltham, Massachusetts
Position Summary:
Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations.
Knowledge/Experience:
High school diploma or equivalent. 2+ years of customer service experience. Knowledge of medical terminology preferred. Insurance verification, authorizations, referrals, claims, and denials experience helpful.
Position Responsibilities:
- Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed.
- Verify eligibility and benefits
- Answer phone queues and process faxes within established standards
- Data enters authorizations into the system.
Hours for this Position: 8am-5pm
Advantages of this Opportunity:
- Work with a Fortune 500 Healthcare Network
- Excellent pay & Benefits
Work with a growing Medicare/Medicaid Provider
Required Skills
What We Look For:
-high school diploma
-2 years+ Customer service experience
-medical terminology knowledge
-work with claims, authorizations, verification, or referral experience desired
-reliability- need to have own means of transportation- not public transportation
-friendly/bubbly personality
-data entry knowledge
Responsibilities
More Insight of Daily Responsibilities:
Want More Information?
Interested in hearing more about this great opportunity? Reach out to Kurt at kurt@healthcaresupport.com for immediate consideration.
Why You Should Work For Us:
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Salary
Based on Experience