Referral Services Assistant

CareBridge • Houston, TX

84d • $16 - $30

About The Position

The Referral Services Assistant is responsible for providing support to the clinical team to facilitate the administrative components of clinical referrals for case management or disease management services, including home health and nutritional counseling. This role enables associates to work virtually full-time in specific states, with the exception of required in-person training sessions, promoting productivity and work-life integration.

Requirements

• Requires a HS diploma and a minimum of 1 year of experience in a healthcare environment; or any combination of education and experience which would provide an equivalent background.

Nice To Haves

• Computer proficiency and the ability to navigate Microsoft Office products, especially Excel.
• Strong communication and multi-tasking skills.
• Call center experience.
• Health insurance or medical office experience.
• Schedule flexibility with the availability for overtime.

Responsibilities

• Initiates and manages clinical referrals for participants registered in a disease management or health program.
• Acts as a liaison between hospital, health plans, physicians, patients, vendors, and other referral sources.
• Reviews referrals for completeness and follows up for additional information.
• Assigns referrals to staff.
• Verifies insurance coverage and obtains authorizations from insurance plans.
• Maintains a database of insurance companies for verification of coverage, accepted plans, and requirements for patient eligibility.
• Contacts physician offices to obtain demographic information or related data.
• Enters referrals and documents communications in the system.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED
• Number of Employees: 251-500 employees