What are the responsibilities and job description for the Referral Specialist position at Complete Staffing Solutions?
Job Description
Job Description
Authorizations Coordinator
Hours : Fulltime, 8a-4 : 30pm M-F – flex
Location : Waltham MA
this will be hybrid eventually, but initially in Waltham for the first 6 months
Looking for someone skilled in insurance verifications
Hourly Rate : $24-$27
Representative Job Duties :
Collects request for company and outside specialists or diagnostic visits and determines whether managed care authorization is needed.
Obtains provider authorization (or denial) for a referral and notifies outside specialists and patients of authorization numbers.
Documents in the medical record : details about referral; the steps to making the referral ; and communications regarding the referral
Serves as liaison between the outside specialist and referring physician and schedules internal and external appointments.
Notifies patients of scheduled appointments and educates them about their appointments and any necessary preparation.
Interacts with insurance companies to obtain the prior authorizations for the patients for procedures and dealing with out of network referrals and worker’s comp. cases.
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