Catholic Health Initiatives REFERRAL SPECIALIST in MT WASHINGTON, Kentucky
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.
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
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.