Referral Specialist

2 weeks ago


Grand Island, United States CHI Health Clinic Full time
Overview

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

Qualifications

High school diploma or equivalent required. 2 years of progressively responsible related experience in a healthcare environment required.

While you’re busy impacting the healthcare industry, we’ll take care of you with benefits that may include health/dental/vision, FSA, matching retirement plans, paid time off, tuition assistance, adoption assistance, and more

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.


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