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)
Work Location:
Spokane, WA - onsite Monday-Friday; Hours: 8:30am-5pm PST
Responsibilities:
The Referral Specialist is responsible for verifying, obtaining, reviewing, and accurately determining that all medical documentation received from physicians or referral sources meet all local coverage determinations and regulatory requirements. The Referral Specialist is responsible for the Pre-authorization functionality.
Minimum Qualifications:
Preferred Qualifications:
Here's what we have to offer:
The anticipated base salary range for this position is $18.00-$22.00. The actual salary varies based on applicant's location, education, experience, skills, abilities, and other legitimate business factors. The Company also provides a unique Benefit of Employee Share Ownership Program (BESOP) program.
To make life more rewarding and dignified for the people who use our products and services.
Clear All
0 Referral Specialist jobs found in Spokane, WA area