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CHI
Omaha, NE | Full Time
$36k-44k (estimate)
1 Week Ago
CommonSpirit Health
Omaha, NE | Full Time
$37k-46k (estimate)
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CHI Health Clinic
OMAHA, NE | Full Time
$35k-42k (estimate)
7 Months Ago
Referral Specialist
CHI Omaha, NE
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$36k-44k (estimate)
Full Time 1 Week Ago
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CHI is Hiring a Referral Specialist Near Omaha, NE

Overview
This is a remote position with the occasional need to go to the office for training.
The Referral Specialist works with patients requiring a referral, to ensure patient's referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement.
Responsibilities
  • Gather, verify, and process 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.
  • Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient.
  • Enter referrals, documents communications and action into the system, as appropriate.
  • Notify physician(s) and patient when referral is denied, or if additional information is needed.
  • Develop and maintain database of referral physician offices preferred by each physician within the clinic.
  • Assist Practice Manager with complaint resolution and solutions related to patient referrals.
  • Perform other duties as assigned by the practice manager or physician.
Qualifications

Required Minimum Knowledge, Skills, Abilities and Training

2 years of progressively responsible related experience in a
Health care environment required.

Job Summary

JOB TYPE

Full Time

SALARY

$36k-44k (estimate)

POST DATE

06/22/2024

EXPIRATION DATE

07/10/2024

WEBSITE

chigroup.tech

HEADQUARTERS

ORLANDO, FL

SIZE

50 - 100

FOUNDED

2017

CEO

STEVE CHICOYE

REVENUE

<$5M

INDUSTRY

Ambulatory Healthcare Services

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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.

CHI Health Clinic
Full Time
$35k-42k (estimate)
7 Months Ago