About The Position

The Referral Specialist will initiate and manage all components of clinical referrals for various services. This role involves setting up appointments and special arrangements such as transportation or interpreter services. The specialist will also verify insurance coverage and obtain authorizations from insurance providers. They will act as a liaison between hospitals, physicians, health plans, vendors, and patients or referral sources, coordinating the flow of information between the medical clinic and the referral authorization department to secure valid referrals for clinic patients. Additionally, the Referral Specialist will develop and maintain a database of referral physician offices preferred by each physician within the clinic and assist the Practice Manager with complaint resolution and solutions related to patient referrals. All referrals, documentation, communications, and actions will be entered and documented in the system.

Requirements

  • High School Diploma or equivalent
  • 2 years related experience in Healthcare environment (strongly preferred)
  • Strong customer skills
  • Good communication skills
  • Strong work ethic and a high level of professionalism
  • Team player who handles multiple projects simultaneously in a fast-paced environment

Responsibilities

  • Initiate and manage all components of clinical referrals for various services.
  • Set up appointments and any special arrangements such as transportation, interpreter services, etc.
  • Verify insurance coverage and obtain authorizations, if needed, from insurance providers.
  • Act as liaison between hospitals, physicians, health plans, vendors and patients or referral sources.
  • Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient.
  • Develop and maintain database of referral physician offices preferred by each physician within the clinic.
  • Assist Practice Manager with complaint resolution and solutions related to patient referrals.
  • Enter referrals, documents, communications, and actions in system.

Benefits

  • 401k
  • PTO
  • medical
  • dental
  • Paid Parental Leave
  • flex spending
  • tuition reimbursement
  • Student Loan Repayment Program
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