Patient Auth and Referral Specialist I

Californiaonsitemid$41K$62K

Posted 5 days ago · via Workday

About this role

Job Description Summary ‎ Supports CareMore's integrated care delivery model by processing routine prior authorizations and specialty referrals that ensure members receive timely, medically appropriate care across the continuum. Performs insurance verification, authorization processing, referral coordination, and documentation while partnering with CareMore clinical teams, providers, and health plans to promote seamless access to services. Patient Authorizations and Referrals Specialist I performs routine, well-defined work under close supervision while building foundational knowledge of CareMore workflows, utilization management requirements, and value-based care principles.…

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What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

1

Skills match

For this role: teams, hipaa

2

Level fit

This role is mid-level. We check your trajectory against it.

3

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is based in California. We weight your proximity and willingness to relocate.

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Skills in this role

Pulled from the job description. These are the keywords we'll weight when scoring your fit.

teamshipaa

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