Referral Specialist - South Lake Urology

Orlando Health•Orlando, FL

1d•Onsite

About The Position

The Referral Specialist is the initial contact for each new patient. This role is responsible for completing registration and obtaining insurance authorization for new patients, diagnostic testing, and hospital admissions. The specialist ensures financial information and insurance are verified, updates patient insurance information in billing systems, and initiates the referral and authorization process for all services and visits. They work closely with nursing and medical staff to facilitate optimal patient care, communicate with the scheduling department to verify insurance requirements for appointments, and coordinate with other departments as needed. The role also involves providing patients with referral information for other physicians and facilities and communicating effectively with all internal and external customers to obtain necessary authorizations.

Requirements

High school graduate or equivalent education.
One (1) year of retail, customer service or health care.
None.

Responsibilities

Completes registration and obtains insurance authorization for new patients, diagnostic testing and for hospital admissions.
Ensures financial information and insurance has been verified.
Updates patient insurance information in billing systems as needed.
Initiates the referral and authorization process for all services and visits.
Works closely with nursing and medical staff to facilitate optimal patient care.
Communicates with the scheduling department to verify each patient’s insurance requirements have been satisfied for upcoming appointments.
Coordinates with other departments as needed to facilitate patient’s visit.
Provides patient with referral information for other physicians and facilities.
Communicates effectively with all internal and external customers – PCP, Patient, clinical departments, etc. in order to obtain the required authorization needed for each service.
Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
Maintains compliance with all Orlando Health policies and procedures.
Assumes responsibility for professional development and education.