Hiring Now! Join our team as an Administrative Referral Specialist.
This is a great temp to hire opportunity to connect with an expansive and established company.
Position Summary: Responsible for timely processing, documenting, scheduling, and follow-up of referrals and request for treatment authorizations as requested by the primary physician.
Essential Functions of the Job:
-
Receives and processes authorizations on timely manner with the at most attention to quality, accuracy and completeness of work. Plans in advance to ensure task are complete and seeks to add value to every work assignment. Schedules requests for referrals and treatment authorizations.
-
Demonstrates skills and knowledge to obtain authorizations from various insurance carriers via phone, in writing or electronic media, adjusting effectively to organizational changes maintaining high standards.
-
Follows-up on missing documentation to obtain authorization when appropriate; schedules appointment for specialty care, special studies, Durable Medical Equipment (DME) or other ancillary services as requested by the primary care physician.
-
Coordinates care within the guidelines of multiple health plans, contracts or insurance types. Uses various modules of the computer system to obtain information, schedule appointments, query information and obtain authorizations.
-
Responds to inquiries as to current status of authorization by assessing the request and evaluating the circumstances to provide regular, consistent, timely, and meaningful information to our patients. Demonstrates professionalism verbally and non-verbally, tailors communication styles to the need of the recipient.
-
Listens to customers (internal and external) and addresses needs; accountable and responsive to customers concerns. Seeks different points of view and leverages diverse perspectives. Meets established or agreed upon deadlines.
-
Arrives on time and prepared for work; uses sound judgement to meet and exceed workplace expectations; assumes responsibility and accountability for decisions, actions, and performance.
-
Work on closing the referrals loop; review the referral log weekly to determine which patients have kept their specialty or consultation appointments.
-
Work on closing the referrals loop; review the referral log weekly to determine which patients have kept their specialty or consultation appointments.
-
Update the referral with date and time of the appointment. Document if patient kept their appointment, reach out to Specialist or Facility to request visit notes or results to be faxed to Referrals main fax number within 5 working days of visit.
Minimum Job Requirements:
-
High school diploma or GED equivalent.
-
Current valid California driver’s license, car insurance and or proof of reliable transportation.
-
A minimum of 1 year experience in healthcare setting to include front with back office or referral authorization knowledge of programs and health plans eligibility and guidelines, coding and data processing or Medical Assistant Certificate.
-
Bilingual (Spanish/English/ Arabic). Good verbal and written communication skills in both languages.
Preferred Job Requirements:
-
2 years in healthcare setting.