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in Hot Springs, AR
Referral Specialist - CHI Main Campus
•30 days ago
Hours | Full-time, Part-time |
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Location | Hot Springs, AR Hot Springs, Arkansas |
About this job
Job Summary:
The Referral Specialist works with patients requiring a referral, to ensure patient's referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement.
Essential Duties:
* Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.
* Communicate detailed information and answers patients' questions regarding their health care plan; provide answers to billing and insurance clarification questions.
* Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc.
* Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient.
* Enter referrals, documents communications and action into the system, as appropriate.
* Notify physician(s) and patient when referral is denied, or if additional information is needed.
* 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.
* Perform other duties as assigned by the practice manager or physician.
* High school diploma or equivalent required.
The Referral Specialist works with patients requiring a referral, to ensure patient's referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement.
Essential Duties:
* Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.
* Communicate detailed information and answers patients' questions regarding their health care plan; provide answers to billing and insurance clarification questions.
* Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc.
* Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient.
* Enter referrals, documents communications and action into the system, as appropriate.
* Notify physician(s) and patient when referral is denied, or if additional information is needed.
* 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.
* Perform other duties as assigned by the practice manager or physician.
* High school diploma or equivalent required.