Referral Specialist - $20 / hr (Temp-to-hire)

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Located in Spokane, WA

Salary: $20 / hr

We are recruiting for an experienced Referral Specialist looking to make their mark in a small medical office!

The HCP Specialist is responsible for verifying, obtaining, reviewing, and accurately determining that all medical documentation received from physicians or referral sources meet all regulatory requirements.  The HCP Specialist is responsible for the Pre-authorization functionality.

Pay: $20/hr

DUTIES AND RESPONSIBILITIES:

1.       Examine documents to verify required compliance, completeness, and accuracy of data.

2.       Contact insurance companies to confirm insurance coverage and eligibility of products.

3.       Obtain prior authorization and/or referrals.

4.       Appropriately update customer database when obtaining documents and pre-authorizations.

5.       Regularly communicate with HCP, RSM’s and payors.

6.       Adheres to all HIPAA guidelines/regulations.

7.       Follows company policies and procedures.

EDUCATION AND/OR EXPERIENCE:

1.                   High School Diploma or equivalent work experience.

2.                   Basic understanding of payor guidelines.

3.                   Analytical skills required, attention to detail, and organized.

4.                   2+ years of medical office work experience

5.                   Previous DME experience a plus.

6.                   Basic Microsoft skills.

7.                   Ability to work well in a team environment

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