Referral Services Assistant
About The Position
Referral Services Assistant is responsible for providing support to clinical team to facilitate the administrative components of clinical referrals for case management or disease management services to include home health, nutritional counseling, etc. How you will make an impact : 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 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 system.
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 preferred.
- Strong communication and multi-tasking skills preferred
- Call center experience preferred.
- Health insurance or medical office experience preferred.
- Schedule flexibility with the availability for overtime preferred.
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 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 system.
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs (unless covered by a collective bargaining agreement)
- medical, dental, vision, short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs and financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
