PayerFusion Holdings is looking for an efficient and personable Referral and Authorization Coordinator to work in rapidly growing healthcare Third Party Administrator. Please join a team of excellence and reward.

About Us:

We are a service-based company creating a full-featured software suite for the healthcare industry from scratch. Innovative drives us in creating a unique and meaningful experience for healthcare professionals. While many industry-wide solutions exist, nothing comes close to our ground-breaking approach.

Responsibilities:

• Asist members in finding the proper providers. Scheduling appointments and ensuring client receives the proper care.
• Must be quality driven and a self-starter that is responsible and with excellent follow up skills.
• Fast-paced environment and must feel free to communicate with hospitals, physicians and other providers.
• Excellent communications skills via email and telephone (must be proficient in good telephone use and etiquette skills) to communicate with clients and interact with medical providers and our in-house case management department.
• Must be proficient in all functions of computer office use including Microsoft Outlook, Excel, Teams and other day to day software tools.

Experience:

• Must have previous medical field expertise in working in a health insurance company or HMO plan with authorizations, patient referrals and or customer service sales.
• Must know with ICD9/ 10 and CPT 4 knowledge and an understanding of the healthcare forms (UB 04 and CMS 1500).
• Knowledge of Medical Specialties

Perks:

• Excellent health, dental, vision insurance, life. 401K and other great benefits.
• 12 holidays paid, 10 paid time off days plus 3 Illness days.
• Pleasant working environment.
• Free parking.