Referral and Pre-Certification Specialist - Multispecialty - Wantagh, Long Island - Full time Day Offsite
Referral and Pre-Certification Specialist - Multispecialty - Wantagh, Long Island - Full time Day Offsite
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
The Offsite Referral and Pre-Certification Specialist is responsible for completing all referrals and pre-certification requirements according to established protocols.
Responsibilities
- Obtains referral and/or precerts for patients for internal and external appointments and/or orders.
- Communicate information pertaining to referrals and/or precerts to patients external medical offices and internal staff as per established protocol.
- Performs other related duties.
Qualifications
Education requirements:
- High School graduate or GED
Experience requirements:
- No experience is required. 1 - 3 years of the following experience is preferred:
- Experience in processing prior-authorizations and referrals is preferred.
- Understands requirements for Internal WMG referrals as well as Outgoing Referrals.
- Understands the concept of PCP and referrals protocols as defined by Insurance Carriers.
Non-Bargaining Unit M6A - MSD Wantagh Overhead OFFS - MSH Mount Sinai Hospital
Required Experience:
Unclear Seniority
Employment Type
Full-Time
