About this role
We are seeking a motivated, self-starting individual to join our clinic as a Referral Specialist. As part of our team, you will process insurance authorizations, answer phones, maintain and update health care records, and perform data entry. This position requires a highly organized professional with excellent customer service skills and phone etiquette. Our ideal candidate also has prior experience within a medical office and knowledge of medical terminology.
Referral Specialist Duties and Responsibilities
- Process insurance authorizations and update patient records
- Provide customer service
- Excellent organizational skills
- Verify eligibility benefits
- Verify insurance coverage and obtain prior authorizations in a timely manner
- Data entry of medical records and patient information
- Initiate, process, and complete referrals to Specialists
- Follow up on referrals within 2 business days.
- Process Prior Authorizations in a timely manner.
Referral Specialist Requirements and Qualifications
- A high school diploma or GED certificate (preferred)
- At least one year of experience in a medical office or similar setting
- Accurate typing and data entry skills
- Superb customer service and communication skills
- Knowledge of HIPAA requirements regarding patient confidentiality
- Must have knowledge of HPN/SHL, Tricare, and all major insurance portals
- Must be able to manage computer applications with ease
- Will be required to have a TB test and CPR Certification on file, prior to employment
- Must have reliable transportation
This position will be part-time, through the first 90 days, then discussion of eligibility to transition to full time will take place.