Referral Specialist processes insurance pre-verification for hospital admissions or specialty service office visits. Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Being a Referral Specialist acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverage and obtains required authorizations when necessary. Additionally, Referral Specialist documents referrals, communications, actions, and other data in an information management system. Generates and distributes all applicable forms, notifications, and paperwork. Requires a high school diploma. Typically reports to a supervisor. The Referral Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Referral Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Are you seeking a professional opportunity that offers a friendly and positive work environment where you can work with helpful colleagues? Do you want to make a positive impact on your community while advancing your career? Look no further than Boulder Medical Center (BMC)!
BMC is a local, independent, and physician-owned medical group with over 20 primary and specialty care departments, 90 providers, and 325 clinical and support professionals. Since our founding by 10 physicians in 1949, we have grown and evolved to meet the needs of Boulder County and beyond.
We currently have clinics located in Boulder (2 locations), Louisville, Longmont, and Erie.
Summary: Boulder Medical Center (BMC) is seeking customer service oriented candidates to join our Referral & Authorization team as a Referral Authorization Specialist ! This position is benefit eligible working full-time 40 hours per week Monday through Friday. Ideal candidates for this position will have 1-2 years of experience working with insurance payers in healthcare.
Job Perks:
Education Requirements:
Previous Experience:
The starting hourly pay range for this position is commensurate with experience:
BMC offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and STD as well as voluntary benefits, RTD EcoPass, 401(k), Paid Time Off and 6 paid holidays annually. Part-time employees are eligible for medical/dental/vision, company-paid life insurance, voluntary benefits, RTD EcoPass, and 401(k).
From: Boulder Medical Center
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