Referral Specialist

This is a remote position.

Primary duties may include but are not limited to:

• Initiates and manages clinical referrals for preauthorization.
  
• Acts as a liaison between hospital health plans physicians patients vendors and other referral sources.
  
• Reviews referrals for completeness and follows up for additional information if necessary.
  
• Assigns escalated referrals to staff as appropriate.
  
• Verifies insurance coverage and completes preauthorization process for radiology and other imaging exams (CT MRI MRA PET et.) following established process and procedures.
  
• Responds to inbound calls initiating exam requests following established processes meets quality and production standards.
  
• Contacts physician offices as needed to obtain demographic information or related data.
  
• Enters referrals documents communications and actions in system.
  

Requirements

Minimum qualifications:

• Requires HS diploma or GED and a minimum of 1 year of experience in a highvolume interactive customer service or call center environment; or any combination of education and experience which would provide an equivalent background.
  

Preferred skills qualifications and knowledge:

• Knowledge of medical terminology preferred.
  
• Experience working as Pharmacy Tech highly preferred.
  
• Ability to type 45 WPM