Catholic Health Initiatives REFERRAL SPECIALIST in LINCOLN, Nebraska
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.
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.
CMA Certification or RN License Required
Job Administrative and Clerical
Primary Location NEBRASKA-LINCOLN-TPN STEVENS CREEK
Daily Schedule M-F 11am to 3pm
Scheduled Hours per 2-week Pay Period 40
Weekends Required None
Req ID: 2017-R0124999