Health Plan Referral Specialist at AllRight Jobs Inc

Job Summary: Health Plan Referral Specialist - Process all requests for referral authorizations within the managed care system. - Research and resolve problem referral claims or requests for payment. - Expedite the flow of authorization requests by preparing and verifying all necessary documentation (form completion eligibility chart availability benefits etc.). - Accurately enter and maintain referral and authorization information using computer systems and correct coding (type status procedure etc.). - Notify patients and providers about authorization decisions. - Maintain accurate tracking of all referral and authorization activities. - Generate and print system reports to support daily tasks and management reporting. - Use tracking systems to monitor and measure the progress and turnaround times of referrals. - Meet applicable competency expectations for the role. - Collaborate with other healthcare team members to ensure efficient referral processing. Requirements: - High School Diploma or equivalent (proof required). - Working knowledge of medical terminology and CPT codes. - Proficient typing and computer skills. - Minimum 2 years experience in a hospital physician office or managed care organization. Key Skills Accounts Handling,Access,Commissioning,Biotechnology,Civil Engineering,Health And Safety Management Employment Type : Full Time Experience: years Vacancy: 1