About The Position

The Offsite Referral and Pre-Certification Specialist is responsible for completing all referrals and pre-certification requirements according to established protocols.

Requirements

  • High School graduate or equivalent
  • No experience is required

Nice To Haves

  • 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.

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.
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