Suntree Internal Medicine, LLC
Referral and Prior Authorization Specialist
Suntree Internal Medicine, LLC, Florida, New York, United States
Referral and Prior Authorization Specialist
Full Time Melbourne, FL, US
Salary Range: $15.00 To $16.00 Hourly
Medical Referral and Prior Authorization Specialist
FLSA Status: Hourly Non-Exempt
Reports to: Documents Manager
Shift: 8 hour shifts (varies)
Lunch: 30 minutes
Education:
High School Diploma or GED required
Medical Terminology Knowledge required
Medical Experience preferred
Responsibilities:
Process referral requests made by providers.
Gather medication information: quantity, diagnosis, dosages, directions.
Gather patients current insurance information.
Ensure accuracy of forms and clinical questions per insurance company.
Utilize the covermymeds system for medication prior authorizations and keep requests cleaned up.
Enter requests into the DASH system and compile referrals and records to be sent to the specialist office, ensuring that the provider accepts the patient’s insurance.
Communicate with patients the status of any referrals or prior authorizations sent on a patient’s behalf.
Obtain authorizations as required for patients to see specialists or procedures that they ordered.
Work on lab rebills as needed.
Transmit information or documents to customers, using a computer, mail, or facsimile machine.
Analyze data to determine answers to questions from patients.
Abilities:
High-level of multi-tasking
Medical Terminology
Team player
Follow step-by-step procedures
Personable
Physical Requirements:
Requires full range of body motion including handling and lifting of patients, manual and finger dexterity, and hand-eye coordination.
Requires standing and walking for extensive periods of time.
Occasionally lifts and carries items weighing up to fifty (50) pounds.
Requires corrected vision, hearing, and speech within normal ranges.
Requires working under stressful conditions and sometimes irregular hours.
Potential contact with bloodborne pathogens, bodily secretions, etc.
You must pass a level 2 background screening PRIOR to joining Suntree Internal Medicine. If you have one done and do not have one on file, after 90 days of employment Suntree Internal Medicine will reimburse you for this up to $85.00. Please provide your receipt to HR on your first day.
About Suntree Internal Medicine: We are a large private internal medicine practice located in Melbourne, Florida. We are an equal opportunity employer and we believe that education and training are a key part of success. Our values are to bring Sincerity, Inspiration, and Mastery into the workplace. We offer benefits, paid time off, 401K and holidays after the 90‑day probation period review.
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Salary Range: $15.00 To $16.00 Hourly
Medical Referral and Prior Authorization Specialist
FLSA Status: Hourly Non-Exempt
Reports to: Documents Manager
Shift: 8 hour shifts (varies)
Lunch: 30 minutes
Education:
High School Diploma or GED required
Medical Terminology Knowledge required
Medical Experience preferred
Responsibilities:
Process referral requests made by providers.
Gather medication information: quantity, diagnosis, dosages, directions.
Gather patients current insurance information.
Ensure accuracy of forms and clinical questions per insurance company.
Utilize the covermymeds system for medication prior authorizations and keep requests cleaned up.
Enter requests into the DASH system and compile referrals and records to be sent to the specialist office, ensuring that the provider accepts the patient’s insurance.
Communicate with patients the status of any referrals or prior authorizations sent on a patient’s behalf.
Obtain authorizations as required for patients to see specialists or procedures that they ordered.
Work on lab rebills as needed.
Transmit information or documents to customers, using a computer, mail, or facsimile machine.
Analyze data to determine answers to questions from patients.
Abilities:
High-level of multi-tasking
Medical Terminology
Team player
Follow step-by-step procedures
Personable
Physical Requirements:
Requires full range of body motion including handling and lifting of patients, manual and finger dexterity, and hand-eye coordination.
Requires standing and walking for extensive periods of time.
Occasionally lifts and carries items weighing up to fifty (50) pounds.
Requires corrected vision, hearing, and speech within normal ranges.
Requires working under stressful conditions and sometimes irregular hours.
Potential contact with bloodborne pathogens, bodily secretions, etc.
You must pass a level 2 background screening PRIOR to joining Suntree Internal Medicine. If you have one done and do not have one on file, after 90 days of employment Suntree Internal Medicine will reimburse you for this up to $85.00. Please provide your receipt to HR on your first day.
About Suntree Internal Medicine: We are a large private internal medicine practice located in Melbourne, Florida. We are an equal opportunity employer and we believe that education and training are a key part of success. Our values are to bring Sincerity, Inspiration, and Mastery into the workplace. We offer benefits, paid time off, 401K and holidays after the 90‑day probation period review.
#J-18808-Ljbffr