Contract
Company Description
Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at http://www.mindlance.com.
Job Description
Business Referral Specialist I
Contract 4 Month Temp-to-Perm
Work hours M-F 09:30AM to 06:00PM
Qualifications
SUMMARY
- Responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals for various AIM services.
- Acts as a liaison between hospitals, physicians, health plans, vendors and patients.
MAJOR JOB DUTIES AND RESPONSIBILITIES
- Initiates and manages clinical referrals for pre-authorization. Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
- Reviews referrals for completeness and follows up for additional information if necessary.
- Assigns referrals to staff as appropriate.
- Verifies insurance coverage and obtains authorizations if needed from insurance plans.
- Maintains database of insurance companies including numbers for verification of coverage, accepted plans, and requirements for patient eligibility.
- Contacts physician offices as needed to obtain demographic information or related data.
- Enters referrals, documents communications and actions in system.
- Enters referrals, documents communications, actions and other data in system.
EDUCATION/EXPERIENCE
- Requires high school diploma and 1-3 years’ experience in healthcare environment preferred or any combination of education and experience, which would provide an equivalent background.
SKILLS
- Excellent customer-service and telephone skills required.
- Excellent oral and written communications skills required.
If you are available and interested then please reply me with your “Chronological Resume” and call me on (678)-405-3590.
Additional Information
Thanks & Regards,