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)
We are looking for an energetic, hard-working, dependable, multi-tasking Medical Insurance Authorization specialist who is passionate about helping others and making a difference. Duties will vary on an as-needed basis and must be diverse and able to adapt to changes in responsibilities.
Medical Authorization Specialists are responsible for verifying coverage and obtaining authorizations for specialized procedures in dermatology, plastic surgery, radiation, and vein treatments.
ESSENTIAL FUNCTIONS
We offer competitive salaries and benefits:
POSITION TYPE AND EXPECTED HOURS OF WORK
QUALIFICATIONS
Education - This position requires a High School Degree or equivalent completion.
Experience – Must have at least one year of experience in patient/authorization. Familiarity with medical terminology and applicable technology
Communication – Excellent oral communication skills; ability to communicate effectively.
Work Style - Must be able to work well independently but ask for help when needed. Ability to analyze and interpret information, ability to interact and decipher information telephonically and electronically
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