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 when necessary. Additionally, Referral Specialist documents referrals, communications, actions, and other data in an information management system. Generates and distributes all applicable forms, notifications, and paperwork. Requires a high school diploma. 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)
Overview:
We are seeking a detail-oriented and organized individual to join our team as an Intake and Referral Specialist. As a Intake and Referral Specialist, you will play a crucial role in ensuring the smooth operation of our office by managing patient referrals, coordinating with insurance providers, and conducting intake assessments.. This is an excellent opportunity for someone with experience in office administration.
Responsibilities:
- Review and process patient referrals from healthcare providers
- Verify insurance coverage and obtain necessary authorizations for referrals
- Coordinate appointments and schedule consultations with specialists
- Maintain accurate and up-to-date records of referrals and authorizations
- Communicate with patients, healthcare providers, and insurance companies regarding referral status
- Ensure compliance with HIPAA regulations and maintain patient confidentiality
- Assist with medical coding and billing tasks as needed
- Collaborate with the medical records department to ensure accurate documentation
Skills:
- Proficient in office administration tasks, including data entry, filing, and record keeping
- Knowledge of medical coding systems, such as ICD-9, CPT, and HCPCS
- Familiarity with medical terminology and procedures
- Experience working in a dental or medical office setting is preferred
- Strong attention to detail and accuracy in managing patient information
- Excellent communication skills to interact effectively with patients, healthcare providers, and insurance companies
- Knowledge of Mental Health assessments.
Join our team as an Intake and Referral Specialist and make a difference in the lives of our patients. Apply today to be part of our dedicated healthcare team!
Job Type: Part-time
Pay: $17.34 - $18.12 per hour
Expected hours: 20 – 30 per week
Benefits:
Ability to Relocate:
Work Location: Hybrid remote in Catonsville, MD 21228
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