Job Opportunities in United States
November 7, 2024
OrthoVirginia
FULL TIME
Referral Specialist
Ortho Virginia, Virginia's largest provider of expert orthopedic and therapy care, is seeking a full time experienced Referral Specialist to join our team! This position is Monday - Friday, no call, holidays or weekends. Along with a team-oriented and collaborative work environment, we offer competitive salaries and outstanding benefits, including paid time off (PTO), paid holidays, medical, dental and vision insurance, short-term and long-term disability insurance, life insurance and a generous 401K plan.
Job Summary
The Referral Specialist is responsible for ensuring all daily authorizations are obtained by coordinating and monitoring work queues. This role will identify STATS and problematic authorizations prior to procedure/surgery dates to avoid denials. This position requires excellent customer service to Ortho Virginia staff, physicians and patients, as well as the ability to listen, process, and communicate clearly and effectively.
Essential Functions & Responsibilities
The Referral Specialist is responsible for ensuring all daily authorizations are obtained by coordinating and monitoring work queues. This role will identify STATS and problematic authorizations prior to procedure/surgery dates to avoid denials. This position requires excellent customer service to Ortho Virginia staff, physicians and patients, as well as the ability to listen, process, and communicate clearly and effectively.
Essential Functions & Responsibilities
- Ensures all daily authorizations are obtained
- Coordinates and monitors work queues
- Identifies STATS and problematic authorizations before procedure/surgery date to avoid denials
- Other duties as assigned
- Strong attention to detail, organizational skills, and the ability to multi-task
- Requires excellent customer service to Ortho Virginia staff, physicians and patients
- The ability to listen, process, and communicate is imperative to exceed caller expectations
- 4 years insurance verification and precertification experience
- Strong customer service skills and focus
- High school diploma or equivalent
- Some college preferred
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