Referral Coordinator Lead

2 months ago


Henderson, Nevada, United States Foundations for Living Full time
About the Role

We are seeking a highly skilled and experienced Lead Referral Specialist to join our team at Foundations for Living. As a key member of our healthcare team, you will be responsible for coordinating referrals for patients, providers, and pre-authorizing & pre-certifying tests/procedures.

Key Responsibilities
  • Coordinate referrals for patients, providers, and pre-authorize & pre-certify tests/procedures.
  • Schedule other tests with facilities at the request of providers and/or staff.
  • Directly communicate with clinics, referred clinics, and patients.
  • Review clinical data to report medical necessity to insurance companies.
  • Problem solve and make decisions, and take escalated calls to triage and manage as appropriate.
  • Coordinate work schedules and absences of team members.
  • Serve as a resource to other members of the team for technical or work challenges.
  • Demonstrate and coach exceptional patient interaction and following standard process for referral specialist.
  • Assist the Practice Administrator in day-to-day operations to deliver the highest quality care to patients in an efficient manner.
Requirements
  • High School Diploma or equivalent required.
  • Minimum of three-five years' experience in a healthcare or clinical setting.
About Foundations for Living

Foundations for Living is a leading healthcare organization dedicated to providing high-quality care to our patients. We are committed to creating a work environment that is supportive, inclusive, and respectful of all employees. As a member of our team, you will have the opportunity to work with a talented and dedicated group of professionals who are passionate about delivering exceptional patient care.

Benefits
  • A challenging and rewarding work environment.
  • Competitive compensation and generous paid time off.
  • Excellent medical, dental, vision, and prescription drug plans.
  • 401(K) with company match.
  • Career development opportunities within our organization.


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