Referral Specialist

Rockhill Orthopaedic, PC•Summit, NJ

83d•Onsite

About The Position

This specialist completes referral forms and assists in scheduling appointments based on patient insurance requirements. This role works with multiple referring offices to obtain and document pre-certifications for imaging studies for multiple outpatient facilities. Interact with radiology technologist to assist in verifying orders, scheduling, and assisting with patient flow.

Requirements

Must enjoy interacting with people, be able to relate well to a variety of personalities and have good verbal communication skills.
Have a cheerful disposition with a calming affect when interacting on the telephone.
A self-motivated individual who can work well with interruptions, understands the need to be precise with information-gathering tasks and is able to convey instructions effectively.
Enjoys working with a team.
High School diploma or equivalent required.
Customer service experience required.

Nice To Haves

Understanding of medical software, such as Epic, strongly preferred.
Prior experience in a healthcare environment preferred.

Responsibilities

Check eligibility, obtain insurance authorizations and referrals prior to patient appointment
Interpret eligibility/verification documents regarding patient benefits
Obtain authorizations for CT, MRI, and physical therapy orders
Obtain authorization, benefits and schedule injections
Obtain authorization and benefits for DME’s
Authorize and schedule STAT appointments
Send therapy orders to requested facility
Send referral and records to specialty physicians
Follow up on CT and MRI appointments
Work with clinic to obtain authorization by doing peer to peer
Communicate verifications for coordinating authorization of scheduled tests or injections