Healthcare Referral Coordinator

2 hours ago


Miami, Florida, United States PayerFusion Holdings LLC Full time
About PayerFusion Holdings LLC

PayerFusion Holdings LLC is a rapidly growing healthcare Third Party Administrator seeking an efficient and personable Referral and Authorization Coordinator to join our team of excellence.

We are a service-based company creating a full-featured software suite for the healthcare industry from scratch. Our innovative approach drives us to create a unique and meaningful experience for healthcare professionals.

Responsibilities:

  • Assist members in finding the proper providers, scheduling appointments, and ensuring clients receive the proper care.
  • Be quality-driven and a self-starter, responsible, and with excellent follow-up skills.
  • Work in a fast-paced environment, communicating with hospitals, physicians, and other providers.
  • Communicate effectively via email and telephone, interacting with clients and medical providers, and our in-house case management department.
  • Be proficient in all functions of computer office use, including Microsoft Outlook, Excel, Teams, and other day-to-day software tools.

Requirements:

  • Previous medical field expertise in working in a health insurance company or HMO plan with authorizations, patient referrals, and customer service sales.
  • Knowledge of ICD9/10 and CPT 4, and an understanding of 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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