Referral Specialist I

Centene Corporation Woodland Hills, CA
Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations.

Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed.

Verify eligibility and benefits

Answer phone queues and process faxes within established standards

Data enters authorizations into the system.

Education/Experience: High school diploma or equivalent. 2 years of customer service experience. Knowledge of medical terminology preferred.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.