Referral Specialist

Referral Specialist

Hot Job

Pittsburgh, PA

Overview

Position Type Full Time

Description

POSITION REQUIREMENTS:

Education/Experience

• High school diploma or equivalent required.
• Minimum of 12 years of experience in prior authorization, referral coordination, insurance verification, medical office support, or related healthcare administrative work.
• Experience working with electronic medical records or electronic health records.
• Familiarity with Medicare, Medicaid, managed care plans, payer requirements, and authorization workflows.

Skills/Abilities

• Working knowledge of medical terminology, CPT and ICD-10 codes, referral processes, and insurance documentation requirements.
• Strong organizational skills, attention to detail, and ability to follow tasks through to completion.
• Excellent verbal and written communication skills, including professional telephone etiquette.
• Ability to manage multiple priorities in a fast-paced clinical office environment.
• Ability to handle sensitive patient information with professionalism and confidentiality.

Preferred Skills/Abilities

• Certified Medical Assistant credential preferred.
• Experience in a primary care, family practice, community health, or federally qualified health center setting preferred.
• Experience coordinating referrals for diagnostics, specialty care, labs, durable medical equipment, home health care, or physical therapy preferred.

Qualifications

POSITION REQUIREMENTS:

Education/Experience

• High school diploma or equivalent required.
• Minimum of 12 years of experience in prior authorization, referral coordination, insurance verification, medical office support, or related healthcare administrative work.
• Experience working with electronic medical records or electronic health records.
• Familiarity with Medicare, Medicaid, managed care plans, payer requirements, and authorization workflows.

Skills/Abilities

• Working knowledge of medical terminology, CPT and ICD-10 codes, referral processes, and insurance documentation requirements.
• Strong organizational skills, attention to detail, and ability to follow tasks through to completion.
• Excellent verbal and written communication skills, including professional telephone etiquette.
• Ability to manage multiple priorities in a fast-paced clinical office environment.
• Ability to handle sensitive patient information with professionalism and confidentiality.

Preferred Skills/Abilities

• Certified Medical Assistant credential preferred.
• Experience in a primary care, family practice, community health, or federally qualified health center setting preferred.
• Experience coordinating referrals for diagnostics, specialty care, labs, durable medical equipment, home health care, or physical therapy preferred.