Referral Authorization Specialist
Company: VirtualVocations
Location: Vista
Posted on: May 20, 2025
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Job Description:
A company is looking for a Referral / Authorization Specialist
(Remote).
Key Responsibilities
Process authorization requests and provider inquiries through
various communication methods
Verify member eligibility and benefits to facilitate authorization
procedures
Coordinate with healthcare providers to ensure accurate information
exchange and maintain records of authorizations
Required Qualifications, Training, and Education
Proficiency in medical terminology, ICD-10 coding, and prior
authorization processes
Strong computer literacy and experience with healthcare
databases
1+ year of experience in referral and authorization coordination
within the healthcare or managed care sector
High school diploma or equivalent; Bachelor's degree in a related
field is a plus
Familiarity with State and Federal healthcare regulations
Keywords: VirtualVocations, West Covina , Referral Authorization Specialist, Other , Vista, California
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