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Referral and Pre-Certification Specialist - Central Administration - Staten Island - Full Time - Days - OFFSITE

  • Job
    Full-time
    Entry, Junior & Mid Level
  • People, HR & Administration
    Healthcare
  • Staten Island
    Remote

AI generated summary

  • You must be a high school graduate, with 1-3 years of relevant experience preferred, and understand prior authorizations, referrals, and insurance carrier protocols.
  • You will obtain referrals and precertifications, communicate details to patients and medical offices, and perform related duties as necessary.

Requirements

  • High School graduate or equivalent
  • No experience is required, 1 to 3 years of experience is preferred as follows:
  • Experience in processing prior-authorizations and referrals is preferred.
  • Understands requirements for Internal WMG referrals as well as Outgoing Referrals.
  • Understands the concept of PCP and referrals protocols as defined by Insurance Carriers.

Responsibilities

  • Obtains referral and/or precerts for patients for internal and external appointments and/or orders.
  • Communicate information pertaining to referrals and/or precerts to patients, external medical offices, and internal staff as per established protocol.
  • Performs other related duties.

FAQs

What is the job title for this position?

The job title is Referral and Pre-Certification Specialist - Central Administration - Staten Island - Full Time - Days - OFFSITE.

What are the primary responsibilities of this role?

The primary responsibilities include obtaining referrals and/or precertifications for patients, communicating information regarding referrals and/or precertifications to patients and medical offices, and performing other related duties.

What qualifications are required for this position?

A high school diploma or equivalent is required. While no experience is necessary, 1 to 3 years of experience in processing prior authorizations and referrals is preferred.

Is prior experience necessary for this job?

No experience is required; however, 1 to 3 years of experience in processing prior authorizations and referrals is preferred.

What is the salary range for this position?

The salary range for this role is $20.60 - $30.69 per hour, depending on experience, education, and hospital need.

Is this position fully remote?

This position is offsite but it generally follows a full-time schedule with specific working days.

Does the Mount Sinai Health System promote diversity and inclusion?

Yes, Mount Sinai Health System is committed to diversity, equity, and inclusion, promoting a work environment where all staff feel valued and empowered.

What kind of environment does Mount Sinai strive to provide?

Mount Sinai strives to create an inclusive, welcoming, and nurturing work environment that fosters professional advancement and anti-racist behaviors.

Are there opportunities for growth within the organization?

Yes, Mount Sinai offers opportunities for professional growth and advancement as part of its commitment to staff development.

Does the job offer any additional benefits besides salary?

The job listing mentions that the salary range does not include bonuses/incentives, differential pay, or other forms of compensation or benefits. Specific benefit details would typically be provided upon hiring.

An integrated health care system providing exceptional medical care to our local and global communities.

Science & Healthcare
Industry
10,001+
Employees
2013
Founded Year

Mission & Purpose

The Mount Sinai Health System is an integrated health system committed to providing distinguished care, conducting transformative research, and advancing biomedical education. Structured around seven hospital campuses and a single medical school, the Health System has an extensive ambulatory network and a range of inpatient and outpatient services—from community-based facilities to tertiary and quaternary care. WHO WE ARE We are compassionate collaborators—38,000 strong—working to heal, teach, and advance medicine in New York City and throughout the world. WHAT WE BELIEVE We believe in challenging the status quo. Forging a new pathway in clinical excellence is only possible by putting the patient at the center of the experience. WHY WORK WITH US Here, innovation is valued and collaboration is integral. Mount Sinai is full of friendly, helpful people who share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home—culturally, ethnically, in outlook and lifestyle. When you join us, you become part of Mount Sinai’s unrivaled record of achievement, education, and advancement as we revolutionize healthcare together.