Non-Clinical - Admin Assistant
Cynet Health, Santa Barbara, CA, United States
Authorization Representative
Processes referral requests for patients to achieve timely and accurate determinations. Works within the scope of practice to complete or forward requests as appropriate to managed care physicians and/or nurses as per the Utilization Management protocols. Maintains required turnaround times for referral completion. Assists providers and patients with referral status questions. Participates in the development and implementation of improvements to the referral process and workflows. Processes referrals per standard work and refers others to nurses and/or MDs as necessary. Maintains accuracy with attention to detail in each referral. Monitors daily pending referrals to ensure timeliness standards are met and customer service is maximized. Reports anticipated problems to the Supervisor and/or other stakeholders. Documents updated status in referrals per standard work. Provides necessary medical information to obtain final determinations when required. Documents determinations in referrals as per standard work. Knowledge of medical terminology, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD) coding is required. Competency in using MS Office Excel and Word and other managed care programs is necessary. Ability to identify, understand, and solve problems related to claims and referrals is critical. Effective communication skills, including an understanding of medical concepts, the ability to organize thoughts, and communicate issues concisely and effectively are essential. Proven ability to quickly adjust to changing projects and priorities and to multi-task is required. Strong organizational skills are necessary. 7-Year work history verification is required for all candidates. Candidates must provide accurate work history information going back 7 years from their start date and may be required to provide documentation or contacts for verification if needed.
City: Santa Barbara, State: CA
About Cynet Health: Cynet Health is a Joint Commission-accredited, Minority-Owned healthcare staffing agency headquartered in Sterling, Virginia, proudly serving healthcare facilities across the United States since its founding in 2010. As one of the nation's largest and fastest?growing healthcare staffing firms in the nation, we staff thousands of nursing, allied health, locum tenens, pharmacy, therapy, direct?hire, and non?clinical professionals across hospitals, clinics, long?term care facilities, labs and more. We're one of the most decorated staffing agencies in America-ranked a Top Travel Nursing Company by BluePipes, recognized among the fastest?growing and most diverse staffing firms by Inc. 5000, Staffing Industry, WBJ and USPAACC-and remain deeply committed to excellence, inclusion, and community impact.
We offer competitive benefits, including:
Medical, dental & vision insurance
401(k) with employer match
Free and unlimited continuing education units (CEUs)
Disability insurance
24/7 dedicated Care Line and clinical liaison support
Personalized career consultant and "single point of contact" service
Industry?leading pay rates, loyalty rewards & referral bonuses
Free tax return assistance for travelers
Job Board Disclaimer: By applying for jobs on this website, you consent to receive daily messages from CYNET about assignments that match your profile. Email or text "HELP" for more info, or "STOP" to unsubscribe. Your mobile info will not be shared with third parties for marketing. Standard messaging and data rates may apply.
Processes referral requests for patients to achieve timely and accurate determinations. Works within the scope of practice to complete or forward requests as appropriate to managed care physicians and/or nurses as per the Utilization Management protocols. Maintains required turnaround times for referral completion. Assists providers and patients with referral status questions. Participates in the development and implementation of improvements to the referral process and workflows. Processes referrals per standard work and refers others to nurses and/or MDs as necessary. Maintains accuracy with attention to detail in each referral. Monitors daily pending referrals to ensure timeliness standards are met and customer service is maximized. Reports anticipated problems to the Supervisor and/or other stakeholders. Documents updated status in referrals per standard work. Provides necessary medical information to obtain final determinations when required. Documents determinations in referrals as per standard work. Knowledge of medical terminology, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD) coding is required. Competency in using MS Office Excel and Word and other managed care programs is necessary. Ability to identify, understand, and solve problems related to claims and referrals is critical. Effective communication skills, including an understanding of medical concepts, the ability to organize thoughts, and communicate issues concisely and effectively are essential. Proven ability to quickly adjust to changing projects and priorities and to multi-task is required. Strong organizational skills are necessary. 7-Year work history verification is required for all candidates. Candidates must provide accurate work history information going back 7 years from their start date and may be required to provide documentation or contacts for verification if needed.
City: Santa Barbara, State: CA
About Cynet Health: Cynet Health is a Joint Commission-accredited, Minority-Owned healthcare staffing agency headquartered in Sterling, Virginia, proudly serving healthcare facilities across the United States since its founding in 2010. As one of the nation's largest and fastest?growing healthcare staffing firms in the nation, we staff thousands of nursing, allied health, locum tenens, pharmacy, therapy, direct?hire, and non?clinical professionals across hospitals, clinics, long?term care facilities, labs and more. We're one of the most decorated staffing agencies in America-ranked a Top Travel Nursing Company by BluePipes, recognized among the fastest?growing and most diverse staffing firms by Inc. 5000, Staffing Industry, WBJ and USPAACC-and remain deeply committed to excellence, inclusion, and community impact.
We offer competitive benefits, including:
Medical, dental & vision insurance
401(k) with employer match
Free and unlimited continuing education units (CEUs)
Disability insurance
24/7 dedicated Care Line and clinical liaison support
Personalized career consultant and "single point of contact" service
Industry?leading pay rates, loyalty rewards & referral bonuses
Free tax return assistance for travelers
Job Board Disclaimer: By applying for jobs on this website, you consent to receive daily messages from CYNET about assignments that match your profile. Email or text "HELP" for more info, or "STOP" to unsubscribe. Your mobile info will not be shared with third parties for marketing. Standard messaging and data rates may apply.