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Referral Specialist
4 weeks ago
**Overview**
**_This is a remote position with the occasional need to go to the office for training._**
The Referral Specialist works with patients requiring a referral, to ensure patient's referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement.
**Responsibilities**
+ Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.
+ Communicate detailed information and answers patients' questions regarding their health care plan; provide answers to billing and insurance clarification questions.
+ Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc.
+ Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient.
+ Enter referrals, documents communications and action into the system, as appropriate.
+ Notify physician(s) and patient when referral is denied, or if additional information is needed.
+ Develop and maintain database of referral physician offices preferred by each physician within the clinic.
+ Assist Practice Manager with complaint resolution and solutions related to patient referrals.
+ Perform other duties as assigned by the practice manager or physician.
**Qualifications**
**Required Minimum Knowledge, Skills, Abilities and Training**
2 years of progressively responsible related experience in a
Health care environment required.
**Pay Range**
$15.00 - $20.33 /hour
We are an equal opportunity/affirmative action employer.
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