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Referral Specialist

Rancho Cordova, CA

Position: Healthcare Branch:

Referral Specialist needed for a large healthcare insurance company in Rancho Cordova, CA.

Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations.

Job Description:

  • 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.

Education/Experience:

  • Minimum high school diploma or equivalent
  • At least two years of customer service experience
  • Experience handling medical claims
  • Knowledge of medical terminology preferred

Start: 06/03/19

Pay: $15.00-$16.00

Work Schedule: *later shifts* Must be OK working a weekend schedule with 2 days off during the week. Days off will either be Wednesday/Thursday or Thursday/Friday.

On weekdays- 830/930/1030am start time, but must work for 8 hours
On weekends- 7-330

Alana Klingman
Strategic Accounts Recruiting Manager

Alana is a native Huntington Beach resident making the move to Sacramento just a few years ago. She comes with over 15 years of experience in full cycle healthcare recruiting and thoroughly enjoys every aspect of her job. Receiving a new client order and placing a qualified applicant is truly an excitement each and every time. Her goal at the end of every day is to leave a positive impression with everyone she works with including letting the candidates know that she is on their side. She strives to fill every client need that comes across her desk with a candidate that can call that place of business HOME. When she is not hard at work Recruiting, Alana spends her free time attending local family events, trying new eateries and perfecting DIY home projects she found on Pinterest.

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