Kearney, NE, 68849, USA
6 hours ago
Referral Specialist
**Responsibilities** + 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** Qualifications + High school diploma or equivalent required. + 2 years of progressively responsible related experience in a healthcare environment required. **Overview** The Referral Specialist works with patients requiring a referral, to ensure patient’s referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement. **Pay Range** $14.78 - $20.33 /hour We are an equal opportunity/affirmative action employer.
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