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Referral Specialist II, Patient Access – Paragon Healthcare
2 months ago
Referral Specialist II, Patient Access – Paragon Healthcare
Be Part of an Extraordinary Team
A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting.
The Referral Specialist II is responsible for providing support to a clinical team to facilitate the administrative components of clinical referrals.
How you will make an impact:
- Acts as a first level SME, ability beyond intake calls that include working on production-oriented work, may include physician assisting and/or special projects.
- Acts as liaison between hospital, health plans, physicians, patients, vendors, and other referral sources.
- Reviews complex referrals for completeness and follows up for additional information if necessary.
- Assigns referrals to staff as appropriate.
- Verifies insurance coverage and obtains authorizations if needed from insurance plans.
- Contacts physician offices as needed to obtain demographic information or related data.
- Enters referrals, documents communications and actions in system.
- Enters referrals, documents communications, actions, and other data in system.
Minimum Requirements:
- Requires HS diploma or GED.
- Minimum of 1 year of experience in a high-volume, interactive customer service or call center in a healthcare environment; or any combination of education and experience which would provide an equivalent background.
