Referral and Prior Authorization Representative

Furst Staffing Bullhorn ·www.furststaffing.com

Location Rockford, Illinois, United States
Salary USD 16 / hour
Type Full time
Level Mid
Source Shazamme
Administrative & Office Accepting Candidates
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           Referral & Prior Authorization Representative 

We have a Furst-to-hire opportunity for a Referral & Prior Authorization Rep at a regional medical clinic.  The client prefers the Referral & Prior Authorization Rep be bilingual in Spanish as they will deal with many Spanish-speaking patients.  The Referral & Prior Authorization Rep will be responsible for verifying and obtaining authorizations for specialty services, and for setting appointments on behalf of patients.  The Referral & Prior Authorization Rep will act as a liaison between the patient, organization, and external customers. 

Hours: 8am to 4:30pm, Mon-Fri 

Pay: $16.75/hour 

Referral & Prior Authorization Rep Responsibilities: 

  • Research and correct invalid or incorrect patient demographic insurance information such as phone numbers or insurance policy specifics 

  • Verify insurance or self-pay information 

  • Maintain current electronic listings of in-network specialty providers, and update on a daily basis 

  • Communicate and work with providers, nurses, and other staff to settle unresolved referrals 

  • Respond professionally to all inquiries from patients, staff, and payers 

  • Accurately document actions taken on a patient record in a timely fashion 

  • Maintain and follow through on all referrals and prior authorizations within designated timeframe 

Referral & Prior Authorization Rep Requirements: 

  • High school diploma or equivalent & MUST have a valid Driver's License

  • Demonstrate computer software skills and aptitude with MS Office and medical billing software 

  • Demonstrate overall understanding of medical billing, medical terminology, insurance claims and authorization processing 

  • Ability to prioritize, follow through and assume responsibility and use good judgment 

  • Communicate effectively with patients, external companies and providers both orally and in writing 

  • Five years’ experience in medical billing, referrals, or prior authorizations.  

    The Referral & Prior Authorization Rep is a detail-oriented position requiring the ability to work well with minimum to no supervision.  Please apply here or contact Courtney or Denessa at 815-229-7810. 

 

 

Frequently asked questions

Who is hiring for the Referral and Prior Authorization Representative role?
Furst Staffing Bullhorn is hiring for the Referral and Prior Authorization Representative position, a Shazamme client. Apply directly on the employer's career site.
Where is the Referral and Prior Authorization Representative job located?
The Referral and Prior Authorization Representative role with Furst Staffing Bullhorn is based in Rockford, IL, US.
What does the Referral and Prior Authorization Representative role pay?
Furst Staffing Bullhorn lists the Referral and Prior Authorization Representative role at up to USD 16 per hour.
Is the Referral and Prior Authorization Representative role full-time or contract?
This is a full time position at Furst Staffing Bullhorn.
What experience level is the Referral and Prior Authorization Representative role?
The Referral and Prior Authorization Representative position is aimed at mid-level candidates.
How do I apply for the Referral and Prior Authorization Representative role at Furst Staffing Bullhorn?
Apply directly on Furst Staffing Bullhorn's career page via the Apply button on this listing. ZammeJobs links straight through to the employer's ATS — no third-party form, no resume database.
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