What are the responsibilities and job description for the Referral Specialist II position at Mosaic Health?
Job Description Summary
How will you make an impact & Requirements
Referral Specialist II
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:
- 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.
Requirements:
- HS diploma or GED required and a minimum of 1 year experience
- Minimum 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.
Compensation: $18.61/hr. - $22.12/hr.
Salary : $19 - $22
