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Referral Specialist

Company: A-Line Staffing Solutions
Location: Newark
Posted on: November 19, 2021

Job Description:

Now hiring a contract Referral Specialist with a major managed care company in Newark, NJ. The position is currently remote, but will be returning back to office once restrictions are lifted. -- Job Title: Referral Specialist Location: Newark, NJ (currently remote) Hours: Monday-Friday, 8am-5pm or 9am-6pm *Training will be from 8am-5pm Pay Rate: $21/hr Pay Schedule: Biweekly MUST BE VACCINATED!!! -- Job Description: Assist in monitoring utilization of medical services to assure cost effective use of medical resources though processing prior authorizations. Daily duties include: ------------------ Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list ------------------ Route to appropriate staff when needed ------------------ Verify eligibility and benefits ------------------ Answer phone queues ------------------ Process faxes within established standards ------------------ Enter data authorization into the systemJob Requirements:Required Skills and Experience --------------------High School Diploma or Equivalent --------------------Knowledge of MS Office --------------------Customer Service --------------------Insurance Verification---- --------------------Prior Authorization --------------------Fast Learner Preferred Skills and Experience --------------------Bilingual --------------------Previous MCO experience

Keywords: A-Line Staffing Solutions, Newark , Referral Specialist, Other , Newark, New Jersey

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