Referral Specialist

Job Title

Essential Functions And Job Responsibilities:

a. Greets and welcomes patients and guests in person and/or on the phone in a professional, respectful, and confidential manner.

b. Obtains and processes insurance referrals or pre-authorizations based on patient's insurance plan in a timely and accurate manner.

c. Verifies patient's insurance coverage for re-certification, referrals, and/or authorization and utilizes computer system accurately and efficiently to document confirmation.

d. Obtains any and all pertinent health information to process referrals and pre-authorizations.

e. Seeks and maintains current and up to date information regarding CPT & ICD-9 coding and insurance requirements.

f. Communicates effectively with patients, staff, physicians, and other serve areas, with professionalism appropriate follow through, utilizing telephone, computer, and fax.

g. Observes department conditions and activities taking appropriate action to deliver a positive patient experience.

h. Exhibits computer systems knowledge and proficiency as necessary to perform job functions.

i. Takes initiative to seek out tasks and duties or to assist others as necessary. Performs other duties as assigned when appropriate.

j. Adheres to HIPAA guidelines set forth in Clinic policies and practices.