33924 - Referral Specialist I

Customer Service Representative Job in Westchester, IL An exciting Customer Service Representative opportunity with one of the nations leading enterprise level Healthcare companies! 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 escalated referrals to staff as appropriate. Verifies insurance coverage and completes pre-authorization process for radiology and other imaging exams (CT, MRI, MRA, PET, et.) following established process and procedures. Responds to inbound calls initiating exam requests following established processes, meets quality and production standards. Contacts physician offices as needed to obtain demographic information or related data. Enters referrals, documents communications and actions in system. We are looking for someone with high energy to join our fast-paced work environment. Apply Now!

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