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Patient Referral Specialist
2 months ago
Position Overview:
Join our team as a Patient Referral Specialist, where you will play a crucial role in facilitating patient care through effective referral management.
Key Details:
Location: 100% Onsite
Schedule: Monday to Friday, 8:30 AM - 5:00 PM
Compensation: $24 - $28 per hour
Core Responsibilities:
- Evaluate documentation to ensure adherence to compliance standards, completeness, and accuracy of data.
- Collaborate with document creators and approvers to resolve any discrepancies.
- Oversee the processing of incoming and outgoing referrals as well as prior authorizations.
- Act as a liaison between patients, healthcare providers, and insurance plans.
- Address inquiries and provide information regarding insurance coverage, claims processing, and referral alternatives.
- Complete necessary referral authorization documentation and relay authorization information to healthcare professionals and patients.
- Maintain the customer database with pertinent documents and pre-authorization information.
- Comply with all HIPAA regulations and guidelines.
Qualifications:
- High school diploma or equivalent required.
- A minimum of three years of experience in a clinical or healthcare environment is essential.
- Experience with electronic medical records (EMR) is advantageous.
- Familiarity with insurance processes is preferred.
- Exceptional customer service skills are necessary.
- Strong verbal and written communication skills are required.
- Ability to collaborate effectively within a team setting.
- Organizational skills and the ability to manage multiple tasks are crucial.
- Resourcefulness and problem-solving abilities are highly valued.
We are committed to providing equal employment opportunities to all qualified applicants without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We also consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable laws.
