28 days old

Referral Specialist

Kelly Services
Sacramento, CA 94278
Kelly Services has **Referral Specialist** openings for our client, one of California's leading health insurance providers, at their location in Sacramento, CA. This is a six-month contract opportunity that pays $16.00 per hour starting September 2020.

**Job Description:**

+ 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.

+ HNU Referral Specialist (Hospital Notification Unit)

+ Create the authorizations for an admission if needed.

+ Checking eligibility, incoming phone calls will be involved, multitasking, maneuvering between multiple systems, working with different lines of business (commercial, Medicare, Medi-cal).


+ 1-year healthcare industry experience

+ Ability to distinguish medical documents (in-patient records)

+ Detail Oriented + Critical thinker-there will be grey areas and youll need to make decisions based off of the information provided

+ Medical background and knowledge of medical terminology

+ Exposure to high speed workplace- will be receiving documents very quickly

+ Strong data entry

+ Fast learner

+ Ability to work in multiple computer systems

+ Must have at least a high school diploma or GED


+ Must work weekends after training period (approximately 90 days)

+ Days off will be 2 consecutive days out of the weekday (M-T, T-W, W-T, T-F)

+ Weekday hours worked will be 8:30am-5pm and weekends 6am-2:30pm or 7am-3:30pm

+ Some mandatory overtime may be implemented

**Important information: Please submit your resume to be considered for this position.** **If you have questions about the opening, you may contact the recruiter for this position at**

_Kelly complies with the requirements of the Fair Chance Initiative. A conviction record does not automatically bar individuals from employment._

**Why Kelly** **** **?**

As a worker today, its up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping you find whats next is what were all about. We know whats going on in the evolving world of workjust ask the nearly 500,000 people we employ each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.

**About Kelly** ****

At **Kelly** , were always thinking about whats next and advising job seekers on new ways of working to reach their full potential. In fact, were a leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.

Kelly is an equal opportunity employer committed to employing a diverse workforce, including, but not limited to, minorities, females, individuals with disabilities, protected veterans, sexual orientation, gender identity. Equal Employment Opportunity is The Law.



Posted: 2020-08-24 Expires: 2020-09-28

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Referral Specialist

Kelly Services
Sacramento, CA 94278

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