Referral Management Specialist

    Lowell General Hospital
    360 Merrimack Street, Lawrence, MA 01843
    Full-time
    Similar jobs pay $11.00 - $18.97

    Job Description

    The Referral Management Specialist coordinates and processes entry of information received from referral sources via phone, fax, email, and online portals.# Communicates with referral sources regarding services provided and eligibility for Home Health Foundation services.# Facilitates timely and efficient referral processing.# Uses critical thinking to analyze and process referral information, as well as identify concerns that necessitate further information or warrant nurse review.#Act as a resource to referral sources and the public. Responsibilities: Verifies that the necessary referral information (patient identification, medical, and financial information) is present to complete a referral for the admitting clinician to make the initial home health visit. Accurately inputs data into the referral department #Request for Services# form within Forcura while on a call. Creates case for all referrals in Forcura, assigns appropriate type, status, and priority tag. Obtains insurance pre-certifications as required by insurer.# Communicates with UR/billing to verify atypical insurances as requested by referral sources and to support UR and Clinical Staff. Qualifications: Medical paraprofessional with 2+ years in a medical office or home care experience, or# direct home health and hospice regulatory knowledge. Certificate, training or equivalent working with medical terminology preferred. ICD coding knowledge desirable, but not required ** ‹ ‹ ‹ ‹The hours for this position are 10:30am - 6:30pm with 1 weekend rotation every 4 weeks#**",

    Posting ID: 555277542Posted: 2020-06-24