Catholic Health Initiatives REFERRAL SPECIALIST in MT WASHINGTON, Kentucky

REFERRAL SPECIALIST

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 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 patient.

  • 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 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.

Qualifications

Education/ Experience:

  • High school diploma or equivalent required.

  • 2 years of progressively responsible related experience in a healthcare environment required.

Catholic Health Initiatives and its organizations are Equal Opportunity Employers

Job Administrative/Clerical

Primary Location KENTUCKY-MT WASHINGTON-KMG PCA 211 HIGH POINT CT

Daily Schedule 8a

Scheduled Hours per 2-week Pay Period 80

Weekends Required None

Req ID: 2018-R0161799

We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.