Referral Specialist (PHG Wrens)

Job Description

Job Description

Full-Time Referral Specialist

About the Company: Jefferson Hospital services are provided for both inpatients and outpatients and the scope of service is consistent with the current mission of the hospital to provide quality community-based primary health care to Jefferson and surrounding counties.

Job Description: The Physicians’ Health Group Referral Specialist is responsible for facilitating and coordinating 
patient referrals, ensuring timely access to specialist services, and obtaining proper 
authorization for procedures.

 

Essential Duties/Responsibilities:

• Answer phone calls, schedule appointments, and handle patient inquiries
• Maintain and update patient records, ensuring confidentiality and accuracy
• Obtains, verifies, and processes referrals for patients needing to see specialists 
  or receive certain procedures. 
• Obtains necessary authorizations and pre-certifications from insurance 
  companies for procedures. Ensures timely reimbursement. 
• Verifies patient eligibility and benefits with insurance companies to ensure proper 
  coverage. 

Position Requirements:

• High school diploma or equivalent
  
• At least one year of experience in a medical office setting is required. 

Top benefits: 

As a team member at Jefferson Hospital, you’ll enjoy: 

• Comprehensive Benefits Package
• Health, vision, dental 
• Paid Time Off 
  
• Growth, Development, and Advancement Opportunities