Pre-Authorization Referral Specialist
Responsibilities
- Verify eligibility and obtain insurance benefits for patient services.
- Ensure pre-certification, authorization, and referral requirements are met for inpatient, outpatient, and ancillary services.
- Determine which patient services have third-party payer requirements and obtain necessary authorizations for care.
- Communicate with payers and clinical partners to facilitate compliance with payer contractual requirements.
- Document appropriate information in the patient's record.
Requirements
- High School Degree or Equivalent
- 1 year of work experience
Qualifications
Physical Requirements: Ability to stand frequently, sit frequently, walk frequently, climb stairs infrequently, work indoors continuously, work from elevated areas frequently, work in confined/cramped spaces infrequently, perform job functions from kneeling positions infrequently, bend at the waist frequently, squat and perform job functions infrequently, perform repetitive motions with hands/wrists/elbows and shoulders frequently, reach in all directions frequently, possess good finger dexterity continuously, use both legs continuously, use both hands/arms continuously, lift and carry 15 lbs. unassisted infrequently, lift/lower objects 15 lbs. from/to floor from/to 36 inches unassisted infrequently, lift from 36 inches to overhead 15 lbs. infrequently, maintain 20/40 vision, corrected, in one eye or with both eyes continuously, see and recognize objects close at hand or at a distance continuously, match or discriminate between colors continuously, determine distance/relationship between objects; depth perception continuously, maintain hearing acuity, with correction continuously, perform gross motor functions with frequent fine motor movements continuously, work in a latex safe environment continuously, maintain tactile sensory functions frequently, maintain good olfactory sensory function frequently, be qualified physically for respirator use, initially and as required continuously, (Selected Positions).
Skills
N/A
Benefits
N/A
Pay
$18.00 - $22.00 per hour
Schedule
40 hours per week