Clinical Support Specialist
6 days ago
Company Overview:
The Referrers PH is a leading healthcare organization dedicated to delivering exceptional patient care and support services.
Job Description:
We are seeking an experienced Clinical Support Specialist to join our team. As a key member of our clinical operations, you will play a critical role in ensuring the smooth delivery of patient care services.
Responsibilities:
- Provide high-quality support to the clinical team and client team members.
- Determine customer eligibility by reviewing contractual language and medical documentation.
- Assess medical appropriateness of claims submitted and adjust claims as needed.
- Process all covered claims accurately and timely.
- Manage both new claims and open claims equally, maintaining decision turnaround times.
Required Skills and Qualifications:
- Active license.
- At least 6 months of hospital experience.
- 1 year prior authorization experience – negotiable: Healthcare experience.
- Strong communication and interpersonal skills.
- Good typing skills.
Benefits:
- Competitive salary range: $40,000 - $50,000.
- Opportunity to work with a world-class medical coding staff.
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