About The Position

The Offsite Referral and Pre-Certification Specialist is responsible for completing referrals and pre-certification requirements according to established protocols. The role obtains referrals and/or pre-certifications for patients’ internal and external appointments and orders, and communicates related information to patients, external medical offices, and internal staff. Other related duties may be assigned.

Requirements

  • High school graduate or equivalent.
  • No experience is required.
  • Understand requirements for internal WMG referrals and outgoing referrals.
  • Understand PCP and referral protocols as defined by insurance carriers.

Nice To Haves

  • One to three years of experience is preferred.
  • Experience processing prior authorizations and referrals is preferred.

Responsibilities

  • Obtain referrals and/or pre-certifications for patients’ internal and external appointments and orders.
  • Communicate information pertaining to referrals and/or pre-certifications to patients, external medical offices, and internal staff according to established protocols.
  • Perform other related duties.
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