Hiring.Camp

Referrals & Authorizations Specialist I

Verawholehealth

·

6 days ago

Location
US-Florida-Pasco-Land O'Lakes-2674 Stonewood Park Loop, United States of America
Type
Full-time
Source
Workday

Description

Job Description Summary

‎ 

Bilingual Required: Spanish

‎ 

How will you make an impact & Requirements

‎ 

  • Collaborates with referring physician offices to ensure referrals are completed appropriately
  • Ensures that referrals are addressed in a timely manner
  • Reviews details and expectations about the referral with patients
  • Communicates effectively about the EMR system
  • Needs basic knowledge of insurance information (i.e. HMO vs. PPO), classes of insurance and is able to instruct and explain to the patient
  • Makes outgoing calls to patients to inform them of the preferred in network provider that they are being referred to
  • Verifies if patient would like assistance in coordinating the appointment
  • Verifies with patient that all information is attached to request
  • Coordinates scheduling of appointments when appropriate on behalf of patients with specialist offices
  • Communicates effectively and professionally with specialist offices
  • Assists in sending Athena fax request to specialist office
  • Ensures complete and accurate registration, including patient demographic and current insurance information
  • Assembles information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist  
  • Demonstrates the skills of effective communication, decision-making and organization to ensure efficient job performance and job success
  • Daily work is accomplished with minimal direct supervision
  • Work priorities are set in order to accomplish task/goals
  • Confidential matters are handled appropriately
  • Provides high-level customer service to both referring physicians as well as referred patients
  • Confidentiality of patient data is maintained at all times
  • Workspace is maintained in an organized and professional manner
  • Courteous and professional demeanor is demonstrated at all times

Skills

EMRCustomer Service

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