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Referral Coordinator
Job Location:
Job Location:
Fresno, CA - USA
Monthly Salary:
Not provided by the employer
Monthly Salary:
Posted:
1 October 2026 (2 days ago)
Posted:
Application Deadline:
29 December 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
- Prior authorization submission:
Prepare and submit prior authorization requests to insurance companies including necessary medical documentation diagnosis codes and treatment plans.
- Clinical review:
Analyze medical records to determine if a requested service or medication aligns with medical necessity guidelines and insurance coverage.
- Communication with providers:
Contact healthcare providers to gather additional information or clarify details regarding requested services for prior authorization.
- Follow-up with insurance companies:
Monitor the status of pending prior authorization requests and follow up with insurance companies to obtain timely approvals.
- Patient education:
Explain the prior authorization process to patients including potential delays and necessary documentation.
- Documentation:
Maintain accurate records of all prior authorization requests including patient information insurance details and approval status.
- Billing support:
Collaborate with billing staff to identify and resolve potential billing issues related to prior authorizatio
- Insurance verification:
Accurately verify patient insurance information including eligibility benefits and coverage details.
Required Experience:
IC
About Company
Career Strategies specializes in Property Management, Healthcare, & Professional Services recruitment. Partner with us for your staffing needs.
