Referral Specialist I - Las Vegas, NV

Only for registered members Las Vegas, NV , United States

3 weeks ago

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Job summary

This role enables associates to work virtually full-time with maximum flexibility and autonomy providing support to a clinical team in order to facilitate the administrative components of clinical referrals.

Responsibilities

  • Initiates and manages clinical referrals for pre-authorization.
  • Acts as a liaison between hospital health plans physicians patients vendors and other referral sources.
  • Reviews referrals for completeness and follows up for additional information if necessary. < li >Assigns escalated referrals to staff as appropriate. < / li >< li >Verifies insurance coverage and completes pre-authorization process for radiology and other imaging exams following established process and procedures. < / li >< ul >
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