Medical Referral Specialists

Description

Virtual Staffing Solutions is currently looking for Medical Referrals Specialists to join our growing healthcare support team. In this role, you will play a key part in managing patient referrals by verifying insurance coverage, securing authorizations, and ensuring that all referral-related documentation is accurate and complete. You will help ensure patients receive timely access to the care they need while supporting efficient billing and claims processing.

Key Responsibilities

• Obtains and processes referrals from providers and communicates authorizations with patients (via phone & mail) and medical staff in a timely manner.
• Prepares, processes, and completes referrals accurately and in a timely manner, including urgent and stat referrals for assigned members.
• Tracks referrals in the electronic medical records (EMR) system; Follows up on submitted authorization requests and maintains consistent status updates via EMR...