Job Summary:

This is a very fast paced environment.. High Energy, Organized, Highly Pleasant - Personal.Candidate must be well-organized, detail-oriented, motivated, and have excellent communication skills. Punctuality & Strong attendance is a must. He/she must be able to work under pressure and work well with others. He/she must have the willingness and ambition to learn and take on a variety of responsibilities.

KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS:

• Fluent in English is required

• Excellent communication skills

• Positive attitude

• Good work ethic

• Team player Ability to manage time

• Great personality

• Capable of Multitasking

• Strict attention to details

• Must be able to prioritize tasks

• Honesty, trustworthiness ,dependability

• Focus on not only keeping up, but moving forward

Duties and Responsibilities:

• Handles incoming calls to the Referral department

• Sort referral emails and faxes

• First point of escalation for all case related issues requiring guidance

• Responsible for daily completion of assigned patient referrals

• Reviews, processes and supports Specialist referral requests 

• Obtains authorization for provider referrals 

• Provides all necessary information such as medical records, prescriptions, etc. to payor

• Communicates with stakeholders, payor, employer, and patient as appropriate

• Records all appropriate information via company’s EMR

• Builds relationships with provider, employer and payor communities

• Assist with Follow up Phones calls to Insurance adjusters

• Other duties as assigned