Referral Specialist

Responsibilities

• Manage the referral work queue by reviewing referrals from PCPs or specialists, verifying insurance, contacting patients, and scheduling appointments.
• Handle prior authorization work queue for insurance approvals needed for imaging, procedures, and medications by submitting clinical documentation, following up with payers, and resolving denials.
• Oversee the scheduling work queue by managing appointment outreach, follow-up visits, wait-list management, and rescheduling canceled appointments.
• Respond to patient message work queue by addressing portal messages, prescription refill requests, clinical questions, and administrative requests.
• Address billing work queue by correcting claims, resolving insurance denials, and ensuring missing coding information is provided.
• Manage the patient balance work queue by reviewing lab or imaging results, following up on critical findings, and notifying patients as needed.

Requirements

EPIC experience

Administrative support skills

Clerical skills

Medical front desk experience

Knowledge of medical terminology

Customer service skills

Patient registration experience

Health care experience

Essential Skills

• Great interpersonal and communication skills
• Positive attitude
• Excellent attendance
• Ability to stay on task and handle a high workload

Additional Skills & Qualifications

Great interpersonal and communication skills

Positive attitude

Excellent attendance

Ability to stay on task and handle a high workload

Work Environment

The role is based at a Spine Center, offering a nurturing environment with a focus on delivering exceptional medical care. The setting involves close collaboration with a multidisciplinary team and utilizes advanced and innovative technology.

Job Type & Location

This is a Contract position based out of New Haven, CT.

Pay And Benefits

The pay range for this position is $24.00 - $27.00/hr.

If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

San Francisco Fair Chance Ordinance

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.