Referral Specialist I
Centene Corporation - Austin, TX

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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.
The position above is with Superior HealthPlan, a wholly owned subsidiary of Centene Corporation, located in Texas.
Superior HealthPlan is a leading multi-line healthcare organization that provides programs and related services to individuals receiving benefits under Medicaid, including enrollees in Temporary Assistance for Needy Families (TANF), the Children’s Health Insurance Program (CHIP), Supplemental Security Income (SSI)/Aged, Blind and Disabled (ABD), Foster Care and Medicare.
Superior HealthPlan offers competitive salaries and a broad range of comprehensive benefits to its employees. Some of those benefits are: Exemplary Health, Dental and Vision Insurance, 401(k) Retirement Plan, Employee Stock Purchase Plan, Tuition Reimbursement Program, and a generous Time Off policy.

Centene Corporation - 23 months ago - save job - copy to clipboard
About this company
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Centene is sensitive to the needs of individuals and families enrolled in government-assisted health programs. The company provides managed...