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Referral Specialist

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Houston, United States Premier Medical Resources Full time
Job DescriptionJob Description

Premier Medical Resources is hiring for a full-time Referral Specialist. The Referral Specialist will be responsible for a wide range of administrative duties to include referral processing, patient registration, verification of benefits, insurance authorizations, patient appointment scheduling, program communication to potential candidates, communication with referral sources.

ESSENTIAL FUNCTIONS:
• Responsible for the tracking, coordination and communication of patient referrals
• Ensures complete and accurate patient registration, including demographics and current insurance information
• Handles requests from third party referral sources and provides relevant information and data
• Serves as point person for multidisciplinary evaluation process to include patient scheduling, third party communications, and internal communications
• Assembles information concerning patient's clinical background and referral needs
• Contacts insurance companies to ensure verification of benefits and prior authorization approval requirements are met
• Reviews details and expectation of referral with the potential patient
• Assists patients in problem solving potential issues related financial or social barriers (e.g., request interpreters as appropriate, transportation services, etc.)
• Ensures that referrals are addressed in a timely manner
• Reminds patients of scheduled appointment
• Communication with referral sources to ensure patient information/ registration is complete
• Communicates patient updates between program and referring source

KNOWLEDGE, SKILLS, AND ABILITIES:
• Strong customer service focus
• Effective verbal and written communication skills
• Teamwork orientation
• Organized and able to manage multiple priorities
• Strong computer skills with proficiency in Microsoft Office, including Outlook, Excel, Word & eCW
• Ability to maintain effective and organized systems to ensure timely patient flow

REQUIREMENTS:
• High School diploma or its equivalent

BENEFITS:

  • 3 Medical Plans
  • 2 Dental Plans
  • 2 Vision Plans
  • Employee Assistant Program
  • Short- and Long-Term Disability Insurance
  • Accidental Death & Dismemberment Plan
  • 401(k) with a 2-year vesting
  • PTO + Holidays

Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.

Please visit our website for more information:

pmr-healthcare.com

Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.





Job Posted by ApplicantPro