Referral and Pre-Certification Specialist- Multispecialty - Wantagh, Long Island - Full time Da[...]

Mount Sinai Health System; Wantagh (NY); Remote; USD 100,000 - 125,000; Full time

Job summary

An established industry player is seeking a Referral and Pre-Certification Specialist to join their dynamic team in Wantagh, Long Island. In this full-time, offsite role, you will be responsible for managing referrals and pre-certifications, ensuring seamless communication between patients and medical staff. This position offers a competitive hourly salary and the chance to grow in a supportive environment that values diversity and excellence in patient care. If you are detail-oriented and eager to contribute to a collaborative healthcare setting, this opportunity is perfect for you.

Qualifications

• High School diploma or GED required.
• 1-3 years of experience in processing prior-authorizations preferred.

Responsibilities

• Obtain referrals and pre-certifications for patients.
• Communicate information to patients and medical offices.

Skills

Prior-Authorization Processing

Referral Management

Communication Skills

Education

High School Diploma

GED

Job description

Referral and Pre-Certification Specialist - Multispecialty - Wantagh, Long Island - Full Time, Offsite

Join Mount Sinai Health System as a Referral and Pre-Certification Specialist in a multispecialty, offsite role located in Wantagh, Long Island.

Job Overview

The Offsite Referral and Pre-Certification Specialist is responsible for completing all referral and pre-certification requirements following established protocols.

Responsibilities

1. Obtain referrals and pre-certifications for patients for internal and external appointments and orders.
2. Communicate referral and pre-certification information to patients, external medical offices, and internal staff as per protocols.
3. Perform other related duties as assigned.

Qualifications

• High School diploma or GED.
• No experience required; 1-3 years of experience in processing prior-authorizations and referrals preferred.
• Knowledge of internal WMG referrals and outgoing referrals.
• Understanding of PCP and referral protocols as defined by insurance carriers.

Additional Information

This is a non-bargaining unit position (M6A) at MSD Wantagh Overhead OFFS, Mount Sinai Hospital.

About Mount Sinai

Mount Sinai Health System is committed to fostering an inclusive environment that promotes excellence in patient care, education, and research. We value diversity and strive to create a workplace where all employees feel respected and empowered to grow.

Compensation

The hourly salary range is $20.60 - $27.80, dependent on experience and education. Additional benefits and incentives may apply.