Referral & Authorization Specialist

Western Reserve
Cuyahoga Falls, OH
Category Healthcare
Job Description
Function as a liaison between physicians and patients in the processes of obtaining authorizations for tests, diagnostic imaging, DME, and referrals to other providers.

Requirements

  • High school diploma or equivalent required
  • Two (2) years of experience in medical insurance verification or other hospital finance areas required
  • Prior authorization experience required
  • Knowledge of authorization or referral verification requirements for Medicare, Medicaid, commercial insurance, managed care plans, workers compensation and other third-party payors required
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