Job Description Summary
Responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals.
How will you make an impact & Requirements
Primary duties may include, but are not limited to:
Acts as a first level SME, ability beyond intake calls that include working on production oriented work, may include physician assisting and/or special projects.
Acts as liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
Reviews complex referrals for completeness and follows up for additional information if necessary.
Assigns referrals to staff as appropriate.
Verifies insurance coverage and obtains authorizations if needed from insurance plans.
Contacts physician offices as needed to obtain demographic information or related data.
Enters referrals, documents communications and actions in system.
Enters referrals, documents communications, actions and other data in system.
Requirements:
Requires HS diploma or GED
Minimum of 1 year experience and a minimum of 1 year of experience in a high-volume, interactive customer service or call center in a healthcare environment; or any combination of education and experience which would provide an equivalent background.
Knowledge of medical terminology, plan specific guidelines; ICD-9 and CPT coding preferred.
Compensation: $23/hr. - $25/hr. & bonus eligible