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 timely and accurate information exchange Required Qualifications, Training, and Education Proficiency in medical terminology, ICD-10 coding, and prior authorization processes Strong computer literacy and experience with healthcare databases High school diploma or equivalent; Bachelor's degree in a related field is a plus 1+ year of experience in referral and authorization coordination within the healthcare or managed care sector Familiarity with State and Federal healthcare regulations

Mar 10, 2025 - 17:09

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 timely and accurate information exchange Required Qualifications, Training, and Education Proficiency in medical terminology, ICD-10 coding, and prior authorization processes Strong computer literacy and experience with healthcare databases High school diploma or equivalent; Bachelor's degree in a related field is a plus 1+ year of experience in referral and authorization coordination within the healthcare or managed care sector Familiarity with State and Federal healthcare regulations