Processes insurance pre-verification for hospital admissions or specialty service office visits. Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverage and obtains required authorizations when necessary. Documents referrals, communications, actions, and other data in an information management system. Generates and distributes all applicable forms, ...notifications, and paperwork. Requires a high school diploma. Typically reports to a supervisor. Works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related experience.More Show Less
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General Summary. The Care Orchestration Specialist is responsible for coordinating follow-up care or resources for patients seen in the facility. This Care Orchestration is completed through utilization of internal software and outgoing telephonic communication to a variety of community partners. The Care Orchestration Specialist will have exceptional commitment to communicating with both the patient and the follow-up entity as this is an integra...
. . POSITION SUMMARY. . . . Position Summary. . . . The Referral Specialist coordinates and schedules all referrals ordered by the provider with the appropriate entity. . . . . . . . POSITION QUALIFICATIONS. . . . Minimum Education. . . . Associates Degree, or Diploma Degree, in Nursing from an accredited school of nursing. . . . . . Minimum Experience. . . . Hospital or physician clinic experience within the past 5 years preferred. . . . . . Req...
The. Patient Referral Specialist. plays a key role in keeping care moving smoothly. In this role, they ensure that insurance and benefits are verified quickly and accurately for referral orders involving specialty care, procedures, or diagnostic testing. Serving as the vital link between patients, healthcare providers, and insurance companies, the Specialist helps streamline the referral process, remove obstacles, and support timely, high-qualit...
