Job Description

Job Description

Job Description

Busy Multi-Specialty practices seeks Referral Specialist. The Referral Specialist is responsible for ensuring that the patient's insurance allows them to access the services of the health care provider.

This position supports our Primary Care Physicians to ensure we refer our patients to the best network and services needed. This position is multi-faceted and allows interaction with our Multidisciplinary team. This position requires organization as this is time sensitive daily duties that require excellent communication, professionalism, and attention to detail. If you have the qualifications and looking to work from home, apply and we will contact you immediately if you qualify!

Candidates must reside in the state of Florida with remote flexibility.

Pay starts at $17/hour with flexibility based on qualifications and experience. Bilingual English/Spanish is not required, but a plus.

Hours- 8:00am to 5:00pm Monday through Friday

Preferred Qualifications

• 2 years' experience in a medical practice specifically Primary Care office, Medical Assistant, Licensed Practical Nurse (LPN), Front Desk Specialist.
• 1 year experience as a Referral Specialist

Responsibilities

• Utilization management activities to include coordinate timely approval of referrals, coordinate efficiency of referral department, collects medical information in order to determine appropriate use of services.
• Monitoring quality of care that correlates with patients benefit plan and appropriate contracted providers.
• Assists in strategies that will improve workflow, appropriateness, and quality outcomes of care by working across teams to accomplish goals.
• Initiate direct communication with health care providers to obtain complete and accurate information.
• Acting as a liaison between insurance, healthcare providers, and the department to ensure required referrals have been processed correctly for medical specialty visits
• Accurately chart all information in EHR/EMR
• Provide coverage for other areas/ departments as needed
• Additional responsibilities as deemed necessary

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