Referral Specialist I
Centene Corporation 272 reviews - Toledo, OH

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Position Purpose:
Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations.

High school diploma or equivalent. 2+ years of customer service experience. Knowledge of medical terminology preferred.

Position Responsibilities:
• Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed.
• Verify eligibility and benefits
• Answer phone queues and process faxes within established standards
• Data enters authorizations into the system.

About this company
272 reviews
Centene is sensitive to the needs of individuals and families enrolled in government-assisted health programs. The company provides managed...