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. Additionally, Referral Specialist resolves pre-certification, registration, and case-related issues. Documents referrals, communications, actions, and other data in an information system. Generates and distributes all applicable forms, notifications, and paperwork. May require an associate degree. 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)
Mission
Our mission is to show and share the love of Jesus by promoting wellness and providing quality, affordable healthcare for Lawndale and the neighboring communities.
The Referral Specialist provides administrative support to the Referral Coordination team with follow up on high priority, DME and Home Health referrals, as well as facilitating the management and completion of outbound medical specialty and diagnostic referrals.
1. Strong customer service and phone skills.
2. Good interpersonal skills are a necessity, including an ability to work well with the variety of ages, cultures, and temperaments represented among LCHC staff and patients, treating others with kindness and professionalism in all they do.
3. Commitment to demonstrating personal integrity through punctuality, honesty, and ability to follow instructions, proper attention to detail in all work matters, and a willingness to learn from others.
4. Ability to work independently, take initiative, and set priorities in accordance with the needs and mission of the clinic.
5. Flexibility to adapt to changing or stressful conditions, including unanticipated changes to working schedules or locations.
6. Excellent written and verbal communication skills for communicating coherently and professionally with co-workers.
7. Excellent organizational, problem solving, prioritization, and computer skills (MS Word, Excel).
8. Embraces and personifies the mission of the Lawndale Christian Health Center, by performing work in a whole person way, providing for the physical, emotional, and spiritual needs of staff members and patients.
Required Knowledge, Experience, or Licensure/Registration
Lawndale benefits include:
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