What are the responsibilities and job description for the Referral Specialist I position at Mosaic Health?
Job Description Summary
How will you make an impact & Requirements
Referral Specialist I
Location: Las Vegas/Henderson
Shift: 8:00am-5:00pm
Job Summary:
Responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals.
Primary duties may include, but are not limited to:
- Initiates and manages clinical referrals for pre-authorization.
- Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
- Reviews referrals for completeness and follows up for additional information if necessary.
- Assigns escalated referrals to staff as appropriate.
- Verifies insurance coverage and completes pre-authorization process for radiology and other imaging exams (CT, MRI, MRA, PET, et.) following established process and procedures.
- Responds to inbound calls initiating exam requests following established processes, meets quality and production standards.
- Contacts physician offices as needed to obtain demographic information or related data.
- Enters referrals, documents communications and actions in system.
Minimum Requirements:
- Requires HS diploma or GED and a minimum of 1 year of experience in a high-volume, interactive customer service or call center environment; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
- Knowledge of medical terminology preferred.
Compensation: $18.61/hr. - $22.12/hr.
Salary : $19 - $22
