Healthcare Intake & Referrals Specialist

TruHealth; Ohio; Presencial; USD 25.000 - 36.000; Jornada completa

Descripción de la vacante

American Health Plans, a division of American Health Partners, seeks a detail-oriented referrals intake specialist to manage referral information and admissions screening.

You will verify benefits, obtain prior authorizations, assign payer categories, and ensure timely processing while maintaining compliance and ethical standards. Strong communication and MS Office skills are essential; travel may be required.

Formación

• Three (3) years experience in a healthcare related environment preferred.

Responsabilidades

• Receives, screens and processes all referral information
• Verifies benefits, payment method and amount
• Obtains prior authorization to ensure services are reimbursable prior to admission
• Assigns appropriate payer category to be keyed by facility personnel
• Scans information back to requesting facility
• Ensures timely and accurate processing of referrals/admissions
• Back-up for review of potential insurance contracts
• Adheres to ethical business practices and maintains integrity
• Promotes a safe and efficient working environment

Conocimientos

Communication skills

Active listening

Educación

High School Diploma

Herramientas

Microsoft Office

Descripción del empleo

American Health Plans, a division of American Health Partners, seeks a detail-oriented referrals intake specialist to manage referral information and admissions screening.

You will verify benefits, obtain prior authorizations, assign payer categories, and ensure timely processing while maintaining compliance and ethical standards. Strong communication and MS Office skills are essential; travel may be required.