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Referral Specialist I

Centene

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Job Details

Location: Lenexa, Johnson County, Kansas, USA Posted: Nov 07, 2019

Job Description

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.

    • About Centene

    Centene is a multi-line health care enterprise offering Medicaid managed care and specialty services.

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