JOB SUMMARY
This role supports the Quality Assurance (QA) and Customer Service (CSR) teams by reviewing incoming referrals, pulling applicable clinical guidelines and payer policies, and ensuring all required documentation is complete and accurate. In a fast-paced, high-volume environment, this individual plays a key role in maintaining workflow efficiency, supporting timely intake processing, and identifying and communicating any missing information needed for review.
MAJOR DUTIES & RESPONSIBILITIES
- Identify and pull appropriate clinical guidelines and payer policies to support review workflows
- Support QA and CSR teams with administrative and operational tasks
- Monitor and manage shared inboxes to ensure timely response to emails and intake requests
- Identify missing or incomplete information within referrals and promptly notify CSR and QA teams
- Maintain accuracy and attention to detail in a high-volume, deadline-driven environment
- Collaborate with cross-functional teams to ensure efficient intake and review processes