Patient Services Specialist

Patient Referral Coordinator

Coordinates aspects of referral, insurance verification, scheduling, and admission of the patient. Ensures services provided to patients meet the standards set by the facility. Obtains all required medical documentation from ordering practitioners. Communicates and provides follow-up to patient on benefit coverage, visit guidelines and limitations. Provides clinicians with proper chart forms and insurance parameters. Reviews patient charts and communicates with clinicians on-going documentation requests from patient's provider. Works with case managers and insurance payers to achieve optimum continuity of care and assists in appeals process if necessary.

Minimum Qualifications

• One year of billing and/or insurance verification experience required.
• Associate's degree in business or healthcare related field preferred. Equivalent work experience may be considered in lieu of required education. Bachelor's degree preferred.