Referral Specialist

Referral Specialist

We are seeking a motivated, self-starting individual to join our clinic as a Referral Specialist. As part of our team, you will process insurance authorizations, answer phones, maintain and update health care records, and perform data entry. This position requires a highly organized professional with excellent customer service skills and phone etiquette. Our ideal candidate also has prior experience within a medical office and knowledge of medical terminology.

Referral Specialist Duties and Responsibilities

• Process insurance authorizations and update patient records
• Provide customer service
• Excellent organizational skills
• Verify eligibility benefits
• Verify insurance coverage and obtain prior authorizations in a timely manner
• Data entry of medical records and patient information
• Initiate, process, and complete referrals to Specialists
• Follow up on referrals within 2 business days.
• Process Prior Authorizations in a timely manner.

Referral Specialist Requirements and Qualifications

• A high school diploma or GED certificate (preferred)
• At least one year of experience in a medical office or similar setting
• Accurate typing and data entry skills
• Superb customer service and communication skills
• Knowledge of HIPAA requirements regarding patient confidentiality
• Must have knowledge of HPN/SHL, Tricare, and all major insurance portals
• Must be able to manage computer applications with ease
• Will be required to have a TB test and CPR Certification on file, prior to employment
• Must have reliable transportation

This position will be part-time, through the first 90 days, then discussion of eligibility to transition to full time will take place.