Referral Pre-Authorization Specialist

A company is looking for a Referral/Pre-Auth Specialist for a Full Time, Day position. Key Responsibilities Receive, process, and document referral or prior authorization requests from clinical areas Manage correspondence with patients, physicians, specialists, and insurance companies, ensuring compliance with documentation requirements Collaborate with Patient Financial Services to enhance the Revenue Cycle process and improve Managed Care communication Required Qualifications, Training, and Education Accredited school preferred: Business or two years of college in a related field Minimum of 3 years of experience in insurance in a medical-related field or similar experience Demonstrated experience in insurance requirements for referrals and/or prior authorizations

Mar 5, 2025 - 00:04

A company is looking for a Referral/Pre-Auth Specialist for a Full Time, Day position. Key Responsibilities Receive, process, and document referral or prior authorization requests from clinical areas Manage correspondence with patients, physicians, specialists, and insurance companies, ensuring compliance with documentation requirements Collaborate with Patient Financial Services to enhance the Revenue Cycle process and improve Managed Care communication Required Qualifications, Training, and Education Accredited school preferred: Business or two years of college in a related field Minimum of 3 years of experience in insurance in a medical-related field or similar experience Demonstrated experience in insurance requirements for referrals and/or prior authorizations