Prior Authorization Representative
A company is looking for a Prior Authorizations and Referral Management Representative.
Key Responsibilities
Coordinate prior authorization and referral processes for patients
Validate patient health plan coverage and communicate necessary information to health plans
Facilitate scheduling and manage patient orders through the system
Required Qualifications, Training, and Education
High School diploma or GED required; college-level coursework preferred
Minimum of one year experience in a hospital, clinic, or medical insurance billing office
Basic understanding of medical coding
Ability to work independently and as part of a care team
Intermediate experience with electronic medical records systems and MS Office applications
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