Referral Specialist - Georgetown
Company: Neighborcare Health
Posted on: January 15, 2022
The Referral Specialist is responsible for receiving, analyzing and
processing all referrals and authorization requests for patients
according to specific insurance requirements. The Referral
Specialist ensures patients have been cleared for specialty service
office visits and certain procedures. The Referral Specialist will
provide support to clinical staff in order to facilitate the
administrative components of clinical referrals for various
services and work closely with the Coding Team to ensure billing
codes are accurate on all referrals and work with the Insurance
Verification Team to ensure accurate and verified insurance prior
to submitting the referral and/or prior authorization. Coordinate
patient care to specialists. Verifying patient insurance and
confirming patient benefits. Obtain prior authorizations.
This position is eligible for the Staff Referral Program.
Neighborcare Health offers a robust benefit package including
health insurance, paid time off, holiday pay, retirement pet
insurance, and more!
* Processes physician referral orders (EKG's, CT, MRI, etc.) using
EHR system. This includes obtaining any authorization needed.
Accurately enters notes into EHR regarding letters or
correspondence from insurance companies regarding insurance
authorization or other referral notifications.
* Demonstrates and applies knowledge of medical terminology.
Communicates the results of the authorization request with the
patient. Processes physician referral orders (EMG, CT, MRI, etc.)
using EHR system. This includes obtaining any authorization needed
in a timely manner.
* Applies knowledge ICD-10 and CPT coding. Answering incoming
patient and insurance company phone calls as received. Maintains
up-to-date knowledge of insurance plans and billing rules. Perform
other duties as assigned within job qualifications.
Required qualifications for this position include:
* Associate's degree (AA) or equivalent from a two-year college or
Preferred qualifications for this position include:
* 2-years experience in a medical setting; or equivalent
combination of education and experience.
The mission of Neighborcare Health is to provide comprehensive
health care to families and individuals who have difficulty
accessing care; respond with sensitivity to the needs of our
culturally diverse patients; and advocate and work with others to
improve the overall health status of the communities we serve.
For 50 years, Neighborcare Health has been caring for our neighbors
with essential medical and dental care, counseling, outreach,
health education and more in Seattle, Vashon, and our newest dental
clinic in Olympia! Our purpose is to improve health by engaging,
educating, and empowering people in the communities we serve. We
are looking to hire the best talent to support our culturally
diverse workplace and community.
Full job description will be provided during the interview
Keywords: Neighborcare Health, Seattle , Referral Specialist - Georgetown, Other , Seattle, Washington
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