- Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.
- Communicate detailed information and answer 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 patients.
- 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 a 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.
- 2 years of progressively responsible related experience in a healthcare environment required.
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Referral Specialist
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Trinity Health , IA, United States**Employment Type:** · Full time · **Shift:** · **Description:** · 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 regard ...
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Referral Specialist - Des Moines, United States - Trinity Health Corporation
Description
Employment Type:
Full time
Shift:
Description:
Are you patient centered and thrive on providing top notch customer service? Consider joining our team as a Referral Specialist The Referral Specialist works with patients requiring a referral, to ensure patient's referral needs are fulfilled for specialty service office visits.
Day-to-day:
Qualifications:
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation.
Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do.
Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
