-
Referral Specialist
3 weeks ago
EngageMED Inc Little Rock, United StatesJob Type · Full-time · Description · The Referral Specialist works with patients requiring a referral, to ensure patients referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely re ...
-
Referral Specialist
2 weeks ago
YOUTH HOME INCORPORATED Little Rock, AR, United StatesJob Details · Job Location · Youth Home, Inc./Behavioral Health Services of Arkansas - Little Rock, AR · Education Level · Master's · Job Category · Health Care · Description · A unique treatment facility where Youth and families find Hope · We are Changing lives, saving families ...
-
Radiologic Technologist
4 days ago
Concentra Little Rock, United StatesThe *Radiologic Technologist (Rad Tech) & Medical Support Specialist (MSS)* conducts routine x-ray exams following Concentra's guidelines and under direct clinician supervision. The Rad Tech (RT) / MSS also assists in various needed areas of the facility. This position demands ef ...
-
Supervisor Service Line Marketing
2 weeks ago
Arkansas Childrens Little Rock, United States Full timeDescription · 1. Lead and mentor the service line marketing and physician liaison team, providing guidance, support, and direction to ensure the achievement of team goals. · 2. Work with the broader marketing team to develop and implement comprehensive campaigns for service line ...
-
Medical Assistant
6 days ago
Concentra Little Rock, United StatesOverview · Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at a tim ...
-
Radiologic Technologist
3 days ago
Concentra Little Rock, AR, United States Full timeOverview: Schedule: Full Time / 40 hours a week / M-F 8a-5p Location: Little Rock, AR Mabelvale Plaza Drive) Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care ...
-
HeartFlow District Sales Manager
2 weeks ago
HeartFlow, Inc Little Rock, United StatesJob Responsibilities · Drive sales of HeartFlow's technology at new accounts, including prospecting, quoting, and closing new business: (1)Develop a pipeline of opportunities within the assigned geography (2) Schedule sales calls to meet with current and potential customers (3) ...
-
Registered Nurse
2 days ago
McLeod Health Little River, United States Part timeResponsible for the assessment and implementation of patient care using remote care technology to achieve optimal clinical outcomes. · Responsible for directing Licensed Practical Nurses to ensure quality patient care. · Collaborates with all caregiver staff: team RNs, LPNs, HHAs ...
-
Registered Nurse
2 weeks ago
McLeod Health Little River, United States Part timeResponsible for the assessment and implementation of patient care using remote care technology to achieve optimal clinical outcomes. · Responsible for directing Licensed Practical Nurses to ensure quality patient care. · Collaborates with all caregiver staff: team RNs, LPNs, HHAs ...
-
CABC Health Information Specialist
2 days ago
UAMS Little Rock, United States Full timeCurrent University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via , then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System two-year institu ...
-
Support Specialist Health Education I
1 week ago
Arkansas Blue Cross and Blue Shield Little Rock, United States Full timeTo learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click . · Applicants must be eligible to begin work on the date of hire. Applicants must be currently authorized to work in the United States on a full-time basis. ARKANSAS BLUE CROSS BLUE SHIELD will ...
-
CABC Health Information Specialist
2 days ago
University of Arkansas for Medical Sciences Little Rock, United States Full timeCurrent University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via , then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System two-year institu ...
-
Medical Director
2 weeks ago
The Center for Discovery Rock Hill, United States Full timeThe Center for Discovery (TCFD) is a leading provider of healthcare and education services for more than 1,200 children and adults with complex conditions, medical frailties and Autism Spectrum Disorders, located 90 miles northwest of New York City. Named a Center of Excellence i ...
-
Assistant Clinical Coordinator
1 week ago
EngageMED Inc Little Rock, United StatesJob Type · Full-time · Description · Job Duties:Assists Clinical Coordinator with referrals. · Provides initial contact for referring physicians' offices to schedule new patient appointments · Receives patient records via fax or email for review prior to scheduling appointment · ...
-
Educational Audiologist REVISED
2 weeks ago
Ayer Shirley School District Little Rock, United StatesQUALIFICATIONS: · * Arkansas license in Audiology · * A certificate of clinical competence in audiology preferred · * Certification as a Special Education Hearing Specialist or Speech Language Pathologist/Speech Therapist preferred · REPORTS TO: Director of Special Education · JO ...
-
Travel Nurse RN
1 week ago
Travel Nurses, Inc. Little Rock, United StatesJob Description · Travel Nurses, Inc. is seeking a travel nurse RN CVICU for a travel nursing job in Little Rock, Arkansas. · Job Description & RequirementsSpecialty: CVICU · Discipline: RN · Duration: 12 weeks · 36 hours per week · Shift: 12 hours, days · Employment Type: Travel ...
-
Travel Nurse RN
1 day ago
Travel Nurses, Inc. Little Rock, United StatesJob Description · Travel Nurses, Inc. is seeking a travel nurse RN CVICU for a travel nursing job in Little Rock, Arkansas. · Job Description & RequirementsSpecialty: CVICU · Discipline: RN · Duration: 12 weeks · 36 hours per week · Shift: 12 hours, nights · Employment Type: Trav ...
-
Non-Invasive Cardiology Partner
2 weeks ago
Sage Health N. Little Rock, United StatesClick Here to Apply Directly · POSITION SUMMARY: · The Cardiologist partners with our team-based care model to support our value-based care provider focused on quality of care for the patients we serve. Our care team consists of physicians, advanced · practice professionals, med ...
-
Travel Nurse RN
3 days ago
Travel Nurses, Inc. Little Rock, AR, United StatesTravel Nurses, Inc. is seeking a travel nurse RN CVICU for a travel nursing job in Little Rock, Arkansas. · Job Description & Requirements · Specialty: CVICU · Discipline: RN · Duration: 12 weeks · 36 hours per week · Shift: 12 hours, nights · Employment Type: Travel · Job Descri ...
-
Travel Nurse RN
1 week ago
Travel Nurses, Inc. Little Rock, AR, United StatesTravel Nurses, Inc. is seeking a travel nurse RN CVICU for a travel nursing job in Little Rock, Arkansas. · Job Description & Requirements · Specialty: CVICU · Discipline: RN · Duration: 12 weeks · 36 hours per week · Shift: 12 hours, days · Employment Type: Travel · Job Descript ...
Referral Specialist - Little Rock, United States - EngageMED, Inc.
Description
Job Description
Job DescriptionDescription:The Referral Specialist works with patients requiring a referral, to ensure patients referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement.
II. Key Responsibilities
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.
Requirements:Role-Specific Behaviors: these additional behaviors are necessary in the role:
Knowledge of clinic referral and scheduling processes and billing/authorization requirements.
Knowledge of federal and state pay requirements, including Medicare, DSHS, HMO/PPO Contracts.
Ability to communicate effectively and to maintain strict confidentiality.
Ability to respond to people and issues promptly and appropriately, to resolve problems.
A team player who handles multiple projects simultaneously in a fast paced environment.
Possess a strong work ethic and a high level of professionalism.
Skills, Knowledge or Abilities critical to this role:
Language Ability: Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to common inquiries or complaints from groups of managers, clients, customers, and the general public.
Math Ability: Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills: Must be proficient with the Microsoft Office Suite, Internet navigation, database management, desktop publishing, spreadsheet, and graphic presentation packages.