Referral Specialist (Remote-Virginia) Jobs

Job Summary

The Referral Specialist is responsible for ensuring all daily authorizations are obtained by coordinating and monitoring work queues. This role will identify STATS and problematic authorizations prior to procedure/surgery dates to avoid denials. This position requires excellent customer service to OrthoVirginia staff, physicians and patients, as well as the ability to listen, process, and communicate clearly and effectively.

Essential Functions & Responsibilities

• Other duties as assigned
• Ensures all daily authorizations are obtained
• Identifies STATS and problematic authorizations before procedure/surgery date to avoid denials
• Coordinates and monitors work queues

Knowledge, Skills & Abilities

• The ability to listen, process, and communicate is imperative to exceed caller expectations
• Requires excellent customer service to OrthoVirginia staff, physicians and patients
• Strong attention to detail, organizational skills, and the ability to multi-task

Preferred Job Requirements

• 4 years insurance verification and precertification experience
• Some college preferred
• High school diploma or equivalent
• Strong customer service skills and focus