Concierge Referral-Authorization Coordinator Health Insurance

4 weeks ago


Miami, United States PayerFusion Holdings LLC Full time
Job DescriptionJob Description

PayerFusion Holdings is looking for an efficient and personable Referral and Authorization Coordinator to work in rapidly growing healthcare Third Party Administrator. Please join a team of excellence and reward.


About Us:

We are a service-based company creating a full-featured software suite for the healthcare industry from scratch. Innovative drives us in creating a unique and meaningful experience for healthcare professionals. While many industry-wide solutions exist, nothing comes close to our ground-breaking approach.


Responsibilities:

  • Asist members in finding the proper providers. Scheduling appointments and ensuring client receives the proper care.
  • Must be quality driven and a self-starter that is responsible and with excellent follow up skills.
  • Fast-paced environment and must feel free to communicate with hospitals, physicians and other providers.
  • Excellent communications skills via email and telephone (must be proficient in good telephone use and etiquette skills) to communicate with clients and interact with medical providers and our in-house case management department.
  • Must be proficient in all functions of computer office use including Microsoft Outlook, Excel, Teams and other day to day software tools.


Experience:

  • Must have previous medical field expertise in working in a health insurance company or HMO plan with authorizations, patient referrals and or customer service sales.
  • Must know with ICD9/ 10 and CPT 4 knowledge and an understanding of the healthcare forms (UB 04 and CMS 1500).
  • Knowledge of Medical Specialties


Perks:

  • We provide excellent health, dental, vision insurance, life. 401K and other great benefits.
  • We also provide 12 holidays paid and 10 paid time off days.
  • Pleasant working environment.
  • Free parking


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