Job Summary
A company is looking for a Prior Authorizations and Referral Management Representative.
Key Responsibilities
- Coordinate prior authorization and referral processes for patients requiring services and testing
- Validate patient health plan coverage and communicate necessary information to health plans
- Facilitate scheduling of patients with various departments and maintain accurate records of authorizations and referrals
Required Qualifications, Training, and Education
- High School diploma or GED required; college-level coursework preferred
- Minimum of one year experience in a hospital, clinic, or medical insurance billing office
- Basic understanding of medical coding
- Ability to use electronic medical records systems and MS Office applications
- Must be able to wear appropriate Personal Protective Equipment (PPE) as required
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