Prior Authorizations & Referrals Specialist

Description:

• Work as a member of the Advanced Tasking Team.
• This can include but is not limited to:
• Consult Orders (Specialist Office Visits)
• Procedure Orders (Ex: MRI/CTs, Radiology, DME, Mammogram, etc.)
• Prescription Authorization (Ex: High Cost Specialty Medications)
• Provider Support Room (Ex: Clinically Urgent Tasks for IOPs/VMT Providers.
• Assisting a patient through the authorization, scheduling and coordination of complex female health procedures. (Ex. Colposcopy)
• Processing Referrals and Authorizations
• Maintaining service level agreements in complex insurance authorizations.
• Meeting or exceeding performance requirements for 6 months minimum (200+Tasks/week).
• This is an administrative and customer service role where you will speak with patients, insurance providers, and internal parties via chat, email, and phone calls.

Additional Skills & Qualifications:

• At least 2 years of experience completing referrals and navigating complex insurance portals and highly complex orders in the last 5 years
• Experience working in a highly productive department with strong metrics accountability/ownership
• A positive, collaborative attitude with strong team engagement and an action-oriented mindset.
• Working in a national healthcare organization that understands the complexities of different regions.
• Experience with working with different EMRs

Details:

• Location: Crossroads of Rio Salado Parkway & Priest in Tempe, AZ
• Pay: $23.25/hr
• Schedule: Open 24×7, schedules available range Mon – Sun 6am – 7pm, will be assigned 1 schedule.
• 5 weeks of training mon – Fri 8am – 5pm
• Start Date: December 2nd
• 4 month contract to hire

Experience Level:

Intermediate

#prioritywest

About TEKsystems:

We’re partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That’s the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards 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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