Referral Specialist

Job not on LinkedIn

🔥 18 minutes ago

🇺🇸 United States – Remote

💵 $16 - $17 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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Classet

1 - 10 employees

💰 $3M Seed Round on 2022-12

Classet helps businesses across the country hire the most qualified skilled employees on the market. We simplify the process to find and engage with eligible candidates and make it easier for existing skilled workers to plug into the right opportunities by showcasing their professional work, skillsets, and certifications.

📋 Description

• Access and navigate the United Healthcare provider portal on a daily basis. • Submit and manage referral authorization requests. • Enter patient diagnoses, provider information, and referral details with a high degree of accuracy. • Verify provider and facility information, including National Provider Identifiers (NPIs). • Utilize internal reference guides, code lists, and portal resources to complete authorization requests. • Secure authorization numbers required for specialist appointments. • Monitor authorization status and update records accordingly. • Ensure referrals meet insurance requirements and compliance standards. • Collaborate with scheduling and follow-up teams to support patient care workflows. • Assist with additional referral coordination tasks as workload demands.

🎯 Requirements

• 1–2 years of experience in one or more of the following: • - Health insurance portal management • - Prior authorizations • - Medical billing support • - Healthcare data entry • - Referral coordination • Experience navigating insurance provider websites and online healthcare portals. • Strong data entry skills with exceptional attention to detail. • Ability to accurately process large volumes of information. • Excellent organizational and time-management skills. • Ability to work independently in a remote environment. • Strong computer proficiency and comfort learning new systems. • Previous experience using United Healthcare (UHC) or UHC Link portals (Nice to Have). • Knowledge of prior authorization workflows (Nice to Have). • Familiarity with provider credentialing information and NPIs (Nice to Have). • Experience working in medical offices, healthcare administration, or referral management (Nice to Have). • Understanding of insurance eligibility and referral requirements (Nice to Have).

🏖️ Benefits

• Fully remote work environment • Consistent full-time schedule • Paid training and onboarding • Career growth opportunities within healthcare operations • Supportive and collaborative team culture • Opportunity to directly impact patient access to care • Stable healthcare administration role with long-term growth potential

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