authorization rep
Posted 4 days ago by Randstand (USA)
Negotiable
Outside
Remote
sacramento, california (remote)
Summary: The Authorization Representative role involves processing referral requests for patients to ensure timely and accurate determinations. The position requires working within the scope of practice to manage requests according to Utilization Management protocols and assisting providers and patients with referral status inquiries. This is a fully remote position based in Sacramento, California.
Key Responsibilities:
- Process referral requests for patients.
- Complete or forward requests to Managed Care physicians and/or nurses as per UM protocols.
- Maintain required turnaround times for referral completion.
- Assist providers and patients with referral status questions.
- Participate in the development and implementation of improvements.
Key Skills:
- Knowledge of Utilization Management protocols.
- Strong communication skills.
- Ability to work independently in a remote environment.
- Attention to detail.
- Experience in healthcare or related field.
Salary (Rate): £19.99 hourly
City: Sacramento
Country: United States
Working Arrangements: remote
IR35 Status: outside IR35
Seniority Level: undetermined
Industry: Other
LOCATION: 100% Remote
Processes referral requests for patients to achieve timely and accurate determinations. Works within scope of practice to complete or forward requests as appropriate to Managed Care physicians and/or nurses as per the Utilization Management (UM) protocols. Maintains required turnaround times for referral completion. Assists providers and patients with referral status questions. Participates in development and implementation of improv