Job Title : Phone Team RSAs (Referral Services Assistants)
Phone Team RSAs (Referral Services Assistants) manage daily inbound calls related to prior authorizations, guiding callers through submission processes, updates, and approvals in alignment with department guidelines. They collaborate with clinical teams, production RSAs, and internal departments to resolve inquiries efficiently while delivering a high-quality customer experience.
Phone Team RSA's (Referral Services Assistant) handle daily inbound calls related to prior authorization requests. Their core responsibilities include :
- Guiding callers through the process of submitting authorization requests
- Assisting with modifications or cancellations of existing authorizations
- Communicating the status of authorization requests clearly and efficiently
- Approving eligible authorizations in accordance with departmental guidelines
Phone Team RSAs collaborate closely with :
Production RSAsClinical teams including RNs and MD reviewersInternal support departmentsThis cross-functional teamwork ensures timely and accurate resolution of provider inquiries while maintaining a high standard of customer service.Skills & Experience :
Proven experience in a Call Center environmentSolid understanding of medical terminologyBackground in the healthcare industry is essentialPrior Utilization Management (UM) experience is strongly preferredStrong proficiency in navigating multiple systems and databasesAnalytical mindset with strong problem-solving abilitiesAbility to stay calm and professional in high-pressure situationsDemonstrates initiative, independence, and ownership in day-to-day tasksShift : Monday-Friday 8 AM-5 PM Pacific Standard Time
Compensation : $17.69 / hr. - $22.11 / hr. & bonus eligible