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Referral Care Specialist

$24 - $27 per hour

Actalent

This is a temporary position to assist with managing work queues due to a backlog in a physician's office. The role involves working Monday through Friday from 8:00 AM to 5:30 PM.

Manage the referral work queue by reviewing referrals from PCPs or specialists, verifying insurance, contacting patients, and scheduling appointments.

Handle prior authorization work queue for insurance approvals needed for imaging, procedures, and medications by submitting clinical documentation, following up with payers, and resolving denials.

Oversee the scheduling work queue by managing appointment outreach, follow-up visits, wait-list management, and rescheduling canceled appointments.

Address billing work queue by correcting claims, resolving insurance denials, and ensuring missing coding information is provided.

Respond to patient message work queue by addressing portal messages, prescription refill requests, clinical questions, and administrative requests.

EPIC experience

Administrative support skills

Clerical skills

Medical front desk experience

Knowledge of medical terminology

Customer service skills

Patient registration experience

Health care experience

The role is based at a Spine Center, offering a nurturing environment with a focus on delivering exceptional medical care. If you are interested please book a virtual meeting with me here:

This is a Contract position based out of New Haven, CT.

If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Application Deadline

We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email View email address on click.appcast.io of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

Vacancy posted 4 days ago
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