salary: $17 - $18 per hour
shift: First
work hours: 8 AM - 4:30 PM
education: High School
Responsibilities
- Evaluate diagnostic needs, verify patient clinical documentation, and route referrals directly to specialty clinics and diagnostic centers.
- Contact third-party insurance payers (MCOs, HMOs, PPOs) to submit, track, and secure timely authorizations and pre-certifications.
- Verify that referral orders include accurate CPT and ICD coding, maintaining complete and audit-ready data in the electronic referral tracking system.
- Align specialty clinic availability with patient schedules, proactively communicate appointment requirements, and arrange necessary patient transit assistance when needed.
- Monitor pending consult notes and test results, ensuring provider reports and discharge summaries are received, reviewed, and filed within established timeframes.
- High school diploma or GED equivalent.
- Working knowledge of medical terminology and standard computer applications to communicate comfortably with insurance representatives.
- Direct, prior experience securing referral authorizations with MCO, HMO, or PPO payers.
- Hands-on familiarity with ICD and CPT coding protocols.
- Experience operating electronic health records (EHR) systems in high-volume clinic or hospital environments.
The essential functions of this role include:
Skills
Qualifications
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
