Referral Specialist I - Henderson - CareMore

    CareMore
    CareMore Henderson

    8 hours ago

    $19,620 (USD) per year
    Description
    Job Description Summary
    Manages the referral process by coordinating care between providers, insurance carriers and specialists. Verifying insurance eligibility, obtaining prior authorizations, and scheduling appointments.
    How will you make an impact & Requirements
    • Key responsibilities include processing referral paperwork, tracking appointments, and communicating with patients and providers. Requires strong communication, organizational, and computer skills.
    • Process referral requests, submit them to insurance companies, and track their status from initiation to completion.
    • Verify patient eligibility and authorization for services, and educate patients on the requirements of their health plan.
    • Communicate between patients, physicians, specialists, and insurance companies to ensure smooth coordination of care.
    • Process and update patient and referral information in the relevant systems.
    • Interact with patients, providers, and other staff, often requiring excellent verbal and written communication skills.
    Requirements:
    • Requires HS diploma or GED
    • Minimum of 1 year of experience in a high-volume, interactive customer service or call center environment; or any combination of education and experience which would provide an equivalent background.
    **This position is bonus eligible based on individual and company performance**
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