Referral And Authorization Specialist

TEKsystems • Boulder City, NV

1d • Remote

About The Position

The Referral and Authorization specialist is responsible for ensuring patients have been cleared for specialty service office visits; obtaining and issuing referrals for ancillary, consult, radiology or lab visits; receiving approvals for medication formularies, durable medical equipment, home health care and other items or services needed.

Requirements

• 2+ years healthcare experience with patient registration, scheduling, referrals and prior authorization - must be outside of pharmacy referrals
• Medical terminology, Insurance verification, insurance benefit knowledge, referral processing and authorization experience required.
• High school diploma or equivalent (GED)
• MUST BE LOCATED IN ARIZONA OR NEVADA

Nice To Haves

• Call Center and MA experience is a plus!

Responsibilities

• Ensuring patients have been cleared for specialty service office visits
• Obtaining and issuing referrals for ancillary, consult, radiology or lab visits
• Receiving approvals for medication formularies, durable medical equipment, home health care and other items or services needed

Benefits

• 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)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED