Medical Receptionist – Referral Coordinator

Quadrant Inc

Baltimore, MD

JOB DETAILS
SALARY
SKILLS
Formulary, Health Plan, Insurance, Medical Office Administration, Medical Writing, Medications, Organizational Skills, Patient Care Denials
LOCATION
Baltimore, MD
POSTED
2 days ago
Medical Receptionist Referral Coordinator - Prior Authorization Specialist
Baltimore, MD
Pay From:
$20 per hour

MUST:
3+ years of experience with obtaining prior-authorizations
Must have knowledge of insurance carriers
Strong experience obtaining Prior Authorizations for medications and writing up medical necessities
Uploading and logging prior authorizations

DUTIES:
The Duties of the Prior Authorizations include but are not limited to the following:
Answer phone calls and return voicemails
Work with insurance companies and fill out Prior Authorization forms that include diagnosis, lab results and why a specific medication is required
Work with providers to complete Authorizations with justifications to get approvals for medications that have exclusions from plans
Assist provider with appeals of denials including medical necessities
Log and upload prior authorizations
Stay knowledgeable of insurance-approved medications and formulary changes
Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability. Healthcare benefits are offered to all eligible employees according to compliance mandated by the Affordable Care Act.

About the Company

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Quadrant Inc

Quadrant is a full-life cycle staff augmentation agency providing a proven "rapid fire" approach in responding to the needs of our clients. Quadrant offers a comprehensive suite of staffing solutions for organizations in the Healthcare, Medical, Dental, Information Technology, HR and Government contract sectors.

Our clients have come to include some of the largest and most recognized brand named companies in the Washington, DC and Baltimore, MD metropolitan regions. Quadrant is a DOD TOP Secret cleared facility and holds a Maryland Minority Business Enterprise (MBE) and Virginia SWaM certification. Quadrant's clients are rapidly hiring a mix of healthcare, medical, dental, information technology, recruiting and HR professionals.

Quadrant is recognized as the largest Healthcare Staffing agency in the Washington DC area. We support every major healthcare system and thousands of area healthcare practices. Our healthcare division focuses on all clinical and nonclinical staff with the exception of physicians. Our database boasts hundreds of thousands of local screened healthcare professionals; the largest in the area. Our resources enable us to respond to our clients requests quickly, generally within 24 hours of request on mainstream orders.

Our Information Technology clients support a broad mix of commercial and federal government agencies. Our clients include government contractors who support projects with federal agencies such as U.S. Department of Veterans Affairs, National Institutes of Health(NIH), U.S. Customs and Border Patrol, FDA, FBI, USPTO, DHS, DHHS, DOD, DOJ, DOE, DISA, and USPS. In addition to our federal portfolio, Quadrant also supports a range of commercial clients focusing in software, telecom, mobile, web and healthcare development.

Whether you are a job seeker or a company with open positions to fill we will bridge the talent gap. Contact any of our seasoned professional recruiters or account managers and we will walk you through our proven staffing methodology. We offer a consultative approach to both potential employee and employer. We seek the right match, at the right time, every time.

COMPANY SIZE
500 to 999 employees
INDUSTRY
Healthcare Services
FOUNDED
2017
WEBSITE
http://www.quadrantinc.com/