Referral and Pre-Certification Specialist- Multispecialty, Wantagh, Long Island, New York, Full Time, Days, Offsite

Mount Sinai Health System • Wantagh, NY

2d • Onsite

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, 1 to 3 years of experience is preferred as follows:
• 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.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees