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Patient Authorization and Referral Representative

Job Description - Patient Authorization and Referral Representative

Description

The primary function of this position involves answering telephone calls from physician offices, inside and outside of the clinic in order to facilitate proper handling of patients requiring pre-certifications, referrals, RQI numbers or any kind of authorization from an insurance company. Primary responsibilities include speaking with medical personnel from physician practices by phone and to gather appropriate patient information. This position reports to the Referral and Scheduling Supervisor or Clinic Supervisor/Manager.


Providence caregivers are not simply valued – they’re invaluable. Join our team at Covenant Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.


Required Qualifications:



  • 2 years Customer service experience.

  • 1 year Medical office experience.

  • Experience using Microsoft based systems.


Preferred Qualifications:



  • 2 years Medical office experience dealing with scheduling, telephone calls, prior pre-certification/ pre-authorization, as well as using an electronic medical record system.


Why Join Providence? 


Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security.  We take care of you, so you can focus on delivering our mission of caring for everyone, especially the most vulnerable in our communities.



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