DescriptionThe 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.
QualificationsEducation requirements:
- High School graduate or equivalent
Experience requirements:
- No experience is required 1 to 3 years of experience is preferred as follows:
- 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 M5G - MSH Wantagh Hem/Onc OFFS - MSH Mount Sinai Hospital
Required Experience:
Unclear Seniority