Referral Specialist Lead - Elevance Health
By Elevance Health At Albany, NY, United States
Knowledge of contracts and strong knowledge of managed benefit programs.
Assists management by identifying areas of improvement and recommends solutions.
Knowledge of health plans, including familiarity with prior authorization and precertification process.
Provides direction and guidance to less experienced team members.
May assists manager with PTO scheduling and monitoring attendance.
Handles escalated and unresolved calls from less experienced team members.