Referral Specialist II - Paragon Infusion Centers
About The Position
The Referral Specialist II - Paragon Infusion Centers is responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals. How you will make an impact: Acts as liaison between hospital, health plans, physicians, patients, vendors and other referral sources. Reviews complex referrals for completeness and follows up for additional information if necessary. Assigns referrals to staff as appropriate. Verifies insurance coverage and obtains authorizations if needed from insurance plans. Contacts physician offices as needed to obtain demographic information or related data. Enters referrals, documents communications and actions in system. Enters referrals, documents communications, actions and other data in system. Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers. Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment. Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary. Performs other duties as assigned.
Requirements
- Requires HS diploma or GED and a minimum of 1 year of experience in a high-volume, interactive customer service or call center in a healthcare environment; or any combination of education and experience which would provide an equivalent background.
Nice To Haves
- Knowledge of medical terminology, plan specific guidelines; ICD and CPT coding.
- Experience with healthcare benefit referrals, authorizations, appeals, and cost estimates.
- Healthcare Commercial and Government experience.
- NextGen experience.
Responsibilities
- Acts as liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
- Reviews complex referrals for completeness and follows up for additional information if necessary.
- Assigns referrals to staff as appropriate.
- Verifies insurance coverage and obtains authorizations if needed from insurance plans.
- Contacts physician offices as needed to obtain demographic information or related data.
- Enters referrals, documents communications and actions in system.
- Enters referrals, documents communications, actions and other data in system.
- Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers.
- Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment.
- Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
- Performs other duties as assigned.
Benefits
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
