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Responsibilities
- Reviews all referrals for eligibility, expiration date, and accuracy
- Acts as a liaison between patients, providers, and staff members to direct appropriate cases to the Utilization Management staff
- Works cooperatively with internal and external customers to help members and providers with referral issues
- Participates in answering Prior Authorization calls and entering customer data in database daily
Basic Qualifications
- Clinical experience and/or healthcare experience with medical insurance
- Ability to handle insurance-based questions
- Authorization experience (office and/or experience with CPT, ICD 10 codes)
- 2+ years’ experience in a medical office or clinical environment
- Must have knowledge of durable medical equipment
- Knowledge of HMO systems and experience working with the medical referral process required
Our Data Entry Representatives will love the following benefits & perks!
- Invitation to join our Inclusivity, Diversity, Equity, + Action Committee
- Access to BroadPath’s Limited Medical Plan starting first of the month after 60 days of employment. After one (1) year of full-time employment, you will receive access to our Major Medical Plan, 401K, and our one of a kind “Bhive Kit;” which includes a camera that allows you to join our Connected Culture!
- Uncapped Employee Referral Program & Weekly Pay
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