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Referrals Specialist
2 months ago
ESSENTIAL FUNCTIONS
- Process referrals ordered by physicians to specialist or ancillary offices under patients’ insurance.
- Verify and process insurance authorizations as required, utilizing insurance portals if applicable.
- Manage, organize, and prioritize referrals and patient records.
- Gather accurate and relevant information from healthcare facilities, patients, and insurance providers.
- Verify referrals and applicable patient records are successfully sent to applicable referred offices.
- Answer phone calls and address patient questions in a timely manner.
- Follow up with referred offices on referrals and confirm appointment dates/scheduling.
- Communicate with healthcare facilities, patients, and insurance providers.
- Maintains strict confidentiality in alignment with HIPAA (Health Insurance Portability and Accountability) guidelines and InterMed policies.
- Perform other duties to support the mission, vision and values of InterMed.
JOB REQUIREMENTS
- High School Diploma or equivalent required
- At least 2 years of relevant medical office experience
- Knowledge of healthcare plans and medical terminology preferred
- Previous authorization intake experience strongly desired
- Strong organizational and critical thinking skills
- Able to prioritize and handle multiple tasks
- Excellent professional judgment, phone skills and decision-making ability
- Proficient computer knowledge and accurate typing skills with Windows based programs, including electronic medical records programs
- Ability to proficiently use telephone systems
- Ability to consistently meet and adhere to performance and quality metrics
- Professional appearance
- Follows InterMed’s mission to provide patient-centered primary care, putting the
- patient first to deliver high quality, high value care.
- Provide the highest quality care to our patients with a level of service that exceeds their expectations.
- Maintain a positive attitude and always treat our patients and each other with dignity and respect.
- Insist on honesty and integrity from each other and our business partners.
- Make teamwork a core component of our relationships between physicians, staff, and patients.
- Embrace change to better serve our patients.
- Use business practices that feature individual accountability and group responsibility to ensure delivery of high value healthcare.
- Have fun as we carry out our mission to serve.
SCHEDULE
Monday through Friday, 40 hours per week
InterMed is an equal opportunity workplace and prohibits discrimination or harassment of any kind. We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, gender identity and/or expression, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law.
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