4 Referral Specialist Jobs in Chattanooga, TN
CHI is Hiring a Referral Specialist Near Chattanooga, TN
ResponsibilitiesThe Referral Specialist works with patients requiring a referral for a test or to a specialist office, to ensure patient’s referral needs are fulfilled for tests and specialty service office visits. Processes orders for tests and referrals, authorizations and pre-certifications for patients, to ensure timely reimbursements. Follows up on all test and referrals to specialist office until the documentation is received and scanned into the system for reconciliation.
- Gather, verify, and process orders for test, referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.
- Communicate detailed information and answers patients' questions regarding their health care plan; provide answers to billing and insurance clarification questions.
- Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc.
- Communicates or gives written material to patients with referral information such as date, time, and location, as well as contact information to ensure patient has resources to review if needed.
- Coordinate flow of information between medical clinic and patients insurance for referral authorization to secure a valid referral for clinic patient.
- Enter and annotate testing information and referrals, does e-referral for applicable practices for meaningful use and follows-up to make sure e-referral and or faxed referrals are received, documents communications and action into PPMS and AEHR, as appropriate.
- Maintains supply of contrasting prep for testing so that when patients are scheduled the prep can be given to the patient and the patient can be educated as to the prep. Otherwise patients are told to be at the testing site 1 ½ hours early for prep.
- Notify physician(s) and patient when test or referral is denied, or if additional information is needed.
- Develop and maintain database of referral physician offices preferred by each physician within the clinic.
- Maintains complaint resolution and solutions related to patient referrals. Calls or faxes for test and referral documents, documents in notes when attempts are made to reconcile the test or referral. Scans the documents into the system and closes the order or referral. Documents all test and referrals in PPMS and AEHR for outmigration reporting.
- Knowledge of clinic referral and scheduling processes and billing/authorization requirements.
- Knowledge of federal and state pay requirements, including Medicare, DSHS, HMO/PPO Contracts.
- High school diploma or equivalent required.
- 2 years of progressively responsible related experience in a healthcare office environment specializing in the referral process is preferred.
- Experience in AEHR and PPMS systems is preferred
Job Summary
Full Time
Ambulatory Healthcare Services
$35k-43k (estimate)
06/26/2024
07/19/2024
chigroup.tech
ORLANDO, FL
50 - 100
2017
STEVE CHICOYE
<$5M
Ambulatory Healthcare Services
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The job skills required for Referral Specialist include Scheduling, Billing, Initiative, etc. Having related job skills and expertise will give you an advantage when applying to be a Referral Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Referral Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Referral Specialist positions, which can be used as a reference in future career path planning. As a Referral Specialist, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Referral Specialist. You can explore the career advancement for a Referral Specialist below and select your interested title to get hiring information.
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