New Mexico Licensed Referral Specialist

A company is looking for a Consultant Referral Specialist to manage authorization data and ensure compliance in a remote environment. Key Responsibilities Assess and ensure accurate entry of authorization/referral requests into the medical management system Identify discrepancies and resolve issues to maintain quality compliance and service levels Process referrals and authorization requests while adhering to HIPAA and confidentiality guidelines Required Qualifications High School Diploma or G.E.D 2+ years' experience in a health care customer service environment Experience with Microsoft Office Knowledge of medical terminology Managed Care and TRICARE experience

May 1, 2025 - 15:46
 0
New Mexico Licensed Referral Specialist
A company is looking for a Consultant Referral Specialist to manage authorization data and ensure compliance in a remote environment. Key Responsibilities Assess and ensure accurate entry of authorization/referral requests into the medical management system Identify discrepancies and resolve issues to maintain quality compliance and service levels Process referrals and authorization requests while adhering to HIPAA and confidentiality guidelines Required Qualifications High School Diploma or G.E.D 2+ years' experience in a health care customer service environment Experience with Microsoft Office Knowledge of medical terminology Managed Care and TRICARE experience