Category:
Are you a fit?
Do you like advocating for people? Do enjoy looking at benefits and policies? Do you like timeliness? This is the job for you. As a Referral Specialist, you act as a member advocate within the provider office by ensuring procedures, benefits, and policies are administered correctly and timely. You also pre-authorize surgeries and procedures with medical insurance companies. You are the voice for the people.
Description
To act as a member advocate within the provider office by ensuring procedures, benefits, and policies are administered correctly and timely. To pre-authorize surgeries and procedures with medical insurance companies.
Typical Requirements:
- High School Diploma or equivalent.
- Two years experience in a medical facility.
- Basic understanding of insurance policies and procedures.
- Effective customer service skills and a positive attitude.
- Strong written and verbal communication skills.
- Ability to work effectively in a team environment.
- Excellent organizational skills.
- Ability to pay close attention to details.
- Ability to establish effective working relationships with staff members.
- Ability to use a computer. Proficient keyboarding skills.
Preferred Qualifications:
- Two years of experience working with referrals and managed care products
- Thorough understanding of the referral process and HMO philosophy.
- Knowledge of medical terminology, ICD-10, and CPT coding.
Pay Ranges
Base Hourly:
$16 per hour
Annual:
$33000 – $54000
Education & Experience
High school diploma or equivalent
Est. Experience Required:
2 years
Educational Opportunities
No specific schooling required