Healthcare Referral Specialist
**SHIFT: Sunday through Thursday 8 hours per day with the opportunity for overtime. We are flexible with the schedule but preferable between the hours of 6am and 6pm**
FRIDAY AND SATURDAY OFF
Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations.
- 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.
- Minimum high school diploma or equivalent
- At least two years of customer service experience
- Experience in prior authorizations or referrals
- Knowledge of medical terminology preferred