Our client is a busy Medical office located in Tarpon Springs. They are seeking a temporary Referral Specialist to join their team. The main job is to strictly process and obtain referrals for patients. You will also be responsible for calling patients, insurance providers, and physicians to obtain referrals. You must have knowledge of medical insurances and know how to process referrals and obtain authorizations.
Responsibilities
Coordinate and process referrals for patients to specialist providers
Verify insurance coverage and obtain necessary authorizations for referrals
Communicate with patients, providers, and insurance companies regarding referral status and requirements
Maintain accurate and up-to-date records of referrals and related documentation
Ensure compliance with HIPAA regulations and maintain confidentiality of patient information
Collaborate with medical office staff to ensure smooth referral processes
Responsible for knowledge of insurance coverages, documentation of authorizations, and communicating the status of authorizations to the practice staff
Updates patient insurance information in billing systems as needed
Initiates the referral and authorization process for all services and visits
Qualifications
Previous experience working in a medical office or healthcare setting
Must be familiar with medical terminology, medical records, and coding systems (ICD-10, ICD-9)
Knowledge of insurance verification processes and requirements
Understanding of HIPAA regulations and patient privacy guidelines
Strong attention to detail and organizational skill
Pay Rate: $19/ Hour
Hours: 7AM- 5PM Monday - Friday
All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.