Referral Specialist

Job Description

Fulltime ONSITE role in Irving Texas with no nights or weekends!

Excellent benefits!!

$19.00 per hour

National Healthcare Organization Headquarters!

Start date 12 / 29 / 25

Health Plan Referral Specialist :

Working Knowledge of medical terminology, typing skills, knowledge of computers 2yrs years experience in hospital, physician office, or managed care organization.

Summary :

Processes all requests for referral authorizations and researches problem referral claims or requests for payment.

Responsibilities :

Expedite the flow of authorization requests through the Managed Care System.

Prepare requests for authorization of services by ensuring form completion, eligibility, verification, chart availability, benefits etc.

Accurately enter referral information into the computer system with a thorough understanding of the correct system codes (type, status, procedure etc.) Facilitate documentation of authorizations into the computer system.

Notify patients and providers of authorization decisions and maintains accurate tracking of services.

Request and print various system report to perform daily tasks and to track referral based activity for management reporting purposes.

Utilize tracking system to monitor the flow of referrals through the authorization process

(Must pass National and Federal background check and Education verification -HS Diploma / GED minimum)