Referral Specialist II - (Orlando, FL)

Description: Position Purpose\: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations and act as trainer and mentor to less experienced staff. Provide technical support to staff and provide ongoing training. Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and the responsibility. Process referrals and refer, when appropriate to Case Managers. Screen for eligibility and benefits. Answer phone queues and faxes within established standards. Data enters authorizations into the system. Qualification: Education/Background\: High-school diploma or equivalent. Bi-lingual in Spanish preferred. 3+ years of customer service background. Knowledge of medical terminology preferred.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different.