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Referral Specialist

Company: Kelly Services
Location: Sacramento
Posted on: April 9, 2021

Job Description:

Kelly Services has--Referral Specialist--openings for our client, one of California's leading health insurance providers, at their location in Sacramento, CA.--This is a six-month contract opportunity that pays $16.00--per hour starting February 2021.Job Description:

  • 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.
  • HNU Referral Specialist--(Hospital Notification Unit)
  • Create the authorizations for an admission if needed.
  • Checking eligibility, incoming phone calls will be involved, multitasking, maneuvering between multiple systems, working with different lines of business (commercial, Medicare, Medi-cal).
  • --Qualifications/Education:
    • 1-year healthcare industry experience
    • Ability to distinguish medical documents (in-patient records)
    • Detail Oriented + Critical thinker-there will be grey areas and you'll need to make decisions based off of the information provided
    • Medical background and knowledge of medical terminology
    • Exposure to high speed workplace- will be receiving documents very quickly
    • Strong data entry
    • Fast learner
    • Ability to work in multiple computer systems
    • Must have at least a high school diploma or GEDHours:
      • Must work weekends after training period (approximately 90 days)
      • Days off will be 2 consecutive days out of the weekday (M-T, T-W, W-T, T-F)
      • Weekday hours worked will be 8:30am-5pm and weekends 6am-2:30pm or 7am-3:30pm
      • Some mandatory overtime may be implemented--Important information: Please submit your resume to be considered for this position.--If you have questions about the opening, you may contact the recruiter for this position at matthsy@kellyservices.com.Kelly complies with the requirements of the Fair Chance Initiative. A conviction record does not automatically bar individuals from employment.#TJP2021_PNIWhy Kelly--?You're looking to keep your career moving onward and upward, and we're here to help you do just that. Our financial staffing experts will connect you with premier companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in in your career. It all adds up.About Kelly--At Kelly, we're always thinking about what's next and advising job seekers on new ways of working to reach their full potential. In fact, we're a leading advocate for temporary/non-traditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.Kelly is an equal opportunity employer committed to employing a diverse workforce and providing accommodations for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with applicants to meet accommodation needs that are made known to Kelly in advance.]]

Keywords: Kelly Services, Sacramento , Referral Specialist, Other , Sacramento, California

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