REFERRAL SPECIALIST - FULL TIME

WATSON CLINIC LLP • Lakeland, FL

3d

About The Position

Summary/Objective: A Referral Specialist is responsible for obtaining insurance referrals, prior authorizations, and pre-determinations that allow a patient to access the services of the Clinic’s health care providers.

Requirements

• High School Graduate or equivalent (GED and 4 years of related experience may be equivalent).
• Knowledge of insurance plan referral requirements and referral processes.
• Ability to demonstrate excellent communication skills (oral and written).
• Ability to retain detailed information to perform daily duties and assist physician offices with proper referral processing.
• Ability to type 35wpm and have basic knowledge of IDX scheduling.
• Ability to multi-task in a fast paced environment and possess excellent organizational skills.
• Advanced telephone skills as a primary instrument of communication.

Nice To Haves

• One to two years referral, authorization, and pre-determination experience preferred.
• Prefer experience working with Epic, Athena/IDX, ICD-10, CPT / HCPCS codes, and proficiency with medical terminology

Responsibilities

• Complete daily workload assignments, keeping to the department standard for productivity, for obtaining authorizations, referrals, or pre-determinations for clinic patients.
• Accurately process authorizations, referrals, and predeterminations per insurance carrier guidelines and clinical specialty requirements.
• Accurately document all actions taken to obtain authorizations, referrals, and pre-determinations in Clinic systems. This includes building referrals and signing off on reservations.
• Maintain clear and positive communications with physician offices and support staff to ensure efficient handling of referrals, authorizations, and pre-determinations.
• Attends departmental meetings (including the daily huddle) and keeps the processes of your assigned specialties up to date.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED