Referral Specialist, Bend OR
About The Position
High Lakes Health Care , part of Praxis Health, is currently looking to add another Referral Specialist to our team who can help support our growing needs. We hope to find the perfect fit for our team soon! If you are a fast learner, hard worker and overachiever, this position might be for you. Our current team and leadership are willing to provide any needed training and support to make the person we hire successful, but a background in the insurance industry would give any candidate a step up! Schedule: Monday - Friday, 8:00am - 5:00pm Compensation: $19.50/hour We are excited to share with you a short video that shows why the Praxis Health family is so special. Please click here: https://youtu.be/MrNWtn42prY This position is customer service and patient care intensive. The ideal applicant is someone who is comfortable and willing to explain coding and billing over the phone with not only patients- but insurers, medical staff and providers. Duties of this position will include obtaining prior authorizations for services that are not customary plan benefits, calling on referrals, scheduling and interacting with patients, Primary Care Physicians and/or Referring Physicians, data entry, patient file and records maintenance, etc.
Requirements
- High School diploma or general equivalency diploma (GED).
- Background in insurance authorization and scheduling.
- Extensive customer service experience.
- Minimum two years of experience in a medical office setting.
Nice To Haves
- 1–3 years working in a healthcare office or clinic setting
- Experience processing medical referrals and prior authorizations
- Familiarity with insurance plans (HMO, PPO, Medicare, Medicaid)
- Comfortable using Electronic Medical Records (EMR) systems
- Able to read and understand basic medical notes and referrals
- Experience talking with patients about referrals and authorizations
- Organized and able to track referral status and follow up as needed
Responsibilities
- Obtains prior authorizations and referrals.
- Inputs correct data into Intergy.
- Performs clerical duties related to clinical service.
- Prepares and processes correspondence.
- Answers telephone, takes messages, and provides information.
- Requests, locates, sends and receives patient records.
- Monitors internal communications including but not limited to task, emails, and voice mails.
- Maintains files and assists establishing office systems.
- Assists in the care and maintenance of office equipment.
- Fulfills clerical responsibilities as assigned that may include sending/receiving patient medical records; obtaining lab/x-ray reports, hospital notes, referral information, etc.; scheduling appointments; verifying insurance coverage; managing and updating EMR charts to ensure that information is complete and filed appropriately.
- Fulfills the organizations responsibilities as assigned including; respecting and promoting patient’s rights; sharing problems with immediate supervisor.
- Other duties as assigned.
- Reliable attendance and presence at work.
Benefits
- Medical, Dental, Vision with In-Network & Custom Network discounts
- 401(K) with discretionary employer match
- Paid Time Off
- Free clinical diagnostic laboratory testing performed in-house
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
251-500 employees
