Medical Referral Specialist Position Available In Fulton, Georgia
Tallo's Job Summary: Childrens Medical Group PC is seeking a full-time Medical Referral Specialist for their Johns Creek location. Responsibilities include securing referrals, authorizations, and supporting providers with utilization. Requirements include 2+ years healthcare referral experience, knowledge of pediatric healthcare codes, and strong organizational skills. This role offers Monday-Friday shifts with benefits such as medical, dental, and vision coverage.
Job Description
Medical Referral Specialist Childrens Medical Group PC 6918 Mcginnis Ferry Road, Johns Creek, GA 30024
Description:
This position is a full-time Referral Specialist role located within our Johns Creek location.
Duties include:
Processing incoming and outgoing calls to secure referrals and authorizations from providers and insurance companies Perform online authorizations of services Provide support to providers regarding utilization and authorization of referrals Contact providers with authorization, denial, and appeals process information as necessary Generate specialty referrals for members as requested by primary care physicians Assuring all pertinent documentation is forwarded to the provider Develop and maintain excellent record keeping systems
Requirements:
The Job requirements are as follows: Must be able to execute above job description 2+ yrs work experience in healthcare referral & referral tracking preferred High school diploma or equivalent Must have an understanding of pediatric healthcare ICD10 and CPT codes Detail oriented and organized Critical decision making and problem solving skills
Shift:
Monday-Friday, 8:00am-5:00pm with 1-hr lunch Benefits include Medical, Dental, Vision, 401k Match, Medical & Dependent Care FSA, STD, and annual uniform allowance.
