1 Referral Specialist II - Benefit Verification- Paragon Healthcare Job in Charleston, WV
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Referral Specialist II - Benefit Verification- Paragon Healthcare
$36k-44k (estimate)
Full Time
2 Weeks Ago
Elevance Health is Hiring a Referral Specialist II - Benefit Verification- Paragon Healthcare Near Charleston, WV
Be Part of an Extraordinary TeamA proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting.
Build the Possibilities. Make an Extraordinary Impact.The Referral Specialist II is responsible for providing support to a clinical team to facilitate the administrative components of clinical referrals.
How You Will Make An ImpactPrimary duties may include, but are not limited to:
Build the Possibilities. Make an Extraordinary Impact.The Referral Specialist II is responsible for providing support to a clinical team to facilitate the administrative components of clinical referrals.
How You Will Make An ImpactPrimary duties may include, but are not limited to:
- Acts as a first level SME, ability beyond intake calls that include working on production-oriented work, may include physician assisting and/or special projects.
- Acts as liaison between hospital, health plans, physicians, patients, vendors, and other referral sources.
- Reviews complex referrals for completeness and follows up for additional information if necessary.
- Assigns referrals to staff as appropriate.
- Verifies insurance coverage and obtains authorizations if needed from insurance plans.
- Contacts physician offices as needed to obtain demographic information or related data.
- Enters referrals, documents communications and actions in system.
- Enters referrals, documents communications, actions, and other data in system.
- Requires HS diploma or GED.
- Minimum of 1 year of experience in a high-volume, interactive customer service or call center in a healthcare environment; or any combination of education and experience which would provide an equivalent background.
- Knowledge of medical terminology, plan specific guidelines; ICD-9 and CPT coding preferred.
Job Summary
JOB TYPE
Full Time
SALARY
$36k-44k (estimate)
POST DATE
06/08/2024
EXPIRATION DATE
07/04/2024
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