Referral Specialist processes insurance pre-verification for hospital admissions or specialty service office visits. Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Being a Referral Specialist acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverage and obtains required authorizations. Additionally, Referral Specialist resolves pre-certification, registration, and case-related issues. Documents referrals, communications, actions, and other data in an information system. Generates and distributes all applicable forms, notifications, and paperwork. May require an associate degree. Typically reports to a supervisor. The Referral Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Referral Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Have you had a positive impact on someone’s life today? Do you enjoy bringing smiles to children and their families? At CHOICE Healthcare Services, our mission is to provide everyone access to the healthcare they need. CHOICE is the largest provider of pediatric dental care in the Southwest United States, and we pride ourselves on delivering high quality care to children in our communities.
What we provide to you as a CHOICE teammate:
Summary: We are seeking a highly skilled Pedo-Ortho Referral Specialist to join our team. This individual will be responsible for maintaining both pediatric and orthodontic patients, as it pertains to orthodontia, and will be responsible for accessing eligibility reports, call parents, educating parents on orthodontic evaluations, greeting patients in pediatric clinics, and scheduling patients for their orthodontic consultation. The ideal candidate will have ha strong background in both pediatric dentistry and orthodontics and possess excellent communication and organizational skills. Primary responsibilities include qualifying and scheduling patients for complimentary orthodontic evaluations.
Pay Range: $18-00-$22.00
Essential Duties and Responsibilities: include the following. Other duties may be assigned.
PEDO ORTHO SPECIALIST INITIATIVES
Education and/or Experience:
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0 Referral Specialist jobs found in Antioch, CA area