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Summary
- Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed.
- Verify eligibility and benefits
- Answer phone queues inbound calls and process faxes within established standards
- Data enters authorizations into the system.
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Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Spherion, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact Callcenter@spherion.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Spherion offers a comprehensive benefits package, including health, and an incentive and recognition program (all benefits are based on eligibility).
For certain assignments, Covid-19 vaccination and/or testing may be required by Spherion's client or applicable federal mandate, subject to approved medical or religious accommodations. Carefully review the job posting for details on vaccine/testing requirements or ask your Spherion representative for more information.
- Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed.
- Verify eligibility and benefits
- Answer phone queues inbound calls and process faxes within established standards
- Data enters authorizations into the system.
Responsibilities:
Referral Specialist are expected to process 30 faxes per day on average
Working hours: 8:00 AM - 5:00 PM
Skills:
-Knowledge of medical terminology preferred
-Healthcare insurance/ MCO experience
Education:
High School
Experience:
1-4 years
Qualifications:
-2+ years customer service experience
-1+ years call center experience
Apply today for immediate consideration!
Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion.
...
Referral Specialist are expected to process 30 faxes per day on average
1-4 years
-Knowledge of medical terminology preferred -Healthcare insurance/ MCO experience
-2+ years customer service experience -1+ years call center experience
High School
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