Description A company in the 19053 zip code area needs an Insurance Referral Specialist. This position is a contract to possible permanent opportunity. The person in this role will be responsible for verifying, obtaining, reviewing, and accurately determining that all medical documentation received from physicians or referral sources meets all LCD’s and regulatory requirements.Responsibilities Include, but are not limited to:
Examine documents to verify required compliance, completeness, and accuracy of data.
Confer with document originators and approvers to resolve identified discrepancies.
Contact insurance companies to confirm insurance coverage and eligibility of products.
Obtain prior authorization and/or referrals.
Appropriately update customer database when obtaining documents and pre-authorizations.
Appropriately update document databases, and corresponding files.
Generate communication to the appropriate personnel on new and revised documents including Pre-authorization requests.
Regularly communicate with HCP, RSM, and payors.
Achieve defined SLAs.
Communicate Payor requirements as they are discovered.
Adheres to all HIPAA guidelines/regulations.
Follows company policies and procedures.
If you are interested please email gianna.migliarese@roberthalf com or call 267-287-1074. Thank you! Requirements Document Review, Insurance Verifications, Medical Insurance Verification, Insurance Authorization, Microsoft Office Suites Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https:///www.roberthalf.com/us/en/terms) .