Remote Patient Services Rep And Referrals And Auths Specialist

Davita Inc.; Phoenix (AZ); Remote; USD 10,000 - 60,000; Full time

Job summary

Join a leading provider of patient services as a Remote Patient Services Representative. This role focuses on managing authorizations and referrals for complex specialty medical services. Candidates should possess healthcare experience, excellent organizational skills, and a strong understanding of medical terminology. Enjoy a competitive pay rate of $20.00/hr along with various benefits including medical, dental, and 401(k) plans.

Benefits

Medical, dental & vision

401(k) Retirement Plan

Employee Assistance Program

Short and long-term disability

Transportation benefits

Qualifications

• 2+ years healthcare experience with specialty referrals.
• Must maintain member confidentiality at all times.
• Must work independently with attention to detail.

Responsibilities

• Obtains authorizations and referrals for hospital procedures.
• Enters patient and authorization information accurately.
• Provides training to office staff on authorization requirements.

Skills

Medical terminology

Insurance verification

Referral processing

Communication skills

Organizational skills

Education

High school diploma or equivalent (GED)

Job description

Remote Patient Services Rep And Referrals And Auths Specialist

life insurance, sick time, 401(k), retirement plan

United States, Arizona, Phoenix

The Insurance Authorization/Referral Specialist will perform the following:

* Obtains authorizations and referrals for hospital procedures and multi-specialties services in a timely manner.
* Accurately enters patient and authorization information into both the hospital and clinic system.
* Provides training to office staff regarding required information for authorizations Assists clients and staff with basic client account questions.
* Keeps current with trends and developments related to essential job competencies.
* Prior to the patient's scheduled procedure, pre-registers patient encounters by collecting complete and accurate patient demographic and guarantor information; collecting complete and accurate insurance information; requesting pre-services payment and checking for medical necessity.
* Assists in the orientation and training of new employees.
* Maintains knowledge of current hospital policies.
* Attends staff meetings and in-services as scheduled.
* Demonstrates flexibility in job assignments and scheduling.
*Additional Skills & Qualifications*

* 2+ years healthcare experience, specialty referral experience, and outside of pharmacy referrals, MA if possible.
* Call center experience is a plus!
*Medical Office or Healthcare environment
*Medical terminology, Insurance verification, insurance benefit knowledge, referral processing and authorization experience required.
*High school diploma or equivalent (GED)
*Excellent listening skills required.
*Must possess the ability to work independently with strong organizational, communication and interpersonal skills to support the management of multiple priorities with significant attention to detail for project completion.
*Must maintain member confidentiality at all times.
*This role focuses on Complex Specialty Medical Services. Medical terminology knowledge is a must!
*Pay and Benefits*
The pay range for this position is $20.00 - $20.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*
This is a fully remote position.
*Application Deadline*
This position is anticipated to close on Jun 5, 2025.
About TEKsystems and TEKsystems Global Services

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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