Referral Specialist I
Core
Facilitates administrative components of clinical referrals and pre-authorization for radiology and imaging exams.
Role type
Administrative Referral Specialist
Builds
Clinical referral workflows and pre-authorization processes
Domain
Healthcare administration
Required skills
High-volume customer service, inbound call handling, insurance verification, data entry, multi-tasking, medical terminology (preferred), healthcare industry experience (preferred)
Preferred skills
Medical terminology, healthcare industry experience, inbound call center experience
Responsibilities
Initiates and manages clinical referrals for pre-authorization, acts as liaison between hospitals and health plans, reviews referrals for completeness, verifies insurance coverage, responds to inbound exam requests, contacts physician offices for data, documents communications in system
Seniority
Entry-level, non-management