Referral Authorization Specialist
A company is looking for a Referral / Authorization Specialist (Remote). Key Responsibilities Process authorization requests and provider inquiries through various communication methods Verify member eligibility and benefits to facilitate authorization procedures Coordinate with healthcare providers to ensure accurate information exchange and maintain records of authorizations Required Qualifications, Training, and Education Proficiency in medical terminology, ICD-10 coding, and prior authorization processes Strong computer literacy and experience with healthcare databases 1+ year of experience in referral and authorization coordination within the healthcare or managed care sector High school diploma or equivalent; Bachelor's degree in a related field is a plus Familiarity with State and Federal healthcare regulations
A company is looking for a Referral / Authorization Specialist (Remote).
Key Responsibilities
Process authorization requests and provider inquiries through various communication methods
Verify member eligibility and benefits to facilitate authorization procedures
Coordinate with healthcare providers to ensure accurate information exchange and maintain records of authorizations
Required Qualifications, Training, and Education
Proficiency in medical terminology, ICD-10 coding, and prior authorization processes
Strong computer literacy and experience with healthcare databases
1+ year of experience in referral and authorization coordination within the healthcare or managed care sector
High school diploma or equivalent; Bachelor's degree in a related field is a plus
Familiarity with State and Federal healthcare regulations
