Referral Specialist - PN Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days

Job Description: Performs daily operational functions to effectively process authorization requests for full risk and shared risk group plans.

Forwards and tracks requests to Utilization Review (UR) and processes determination upon return.

Conducts research and communication with providers for retrospective or non-communicated authorizations when no authorization is on file or services are not properly authorized at the time of claim receipt.

Assists providers and patients with process and stat…