Location
Florida | United States
Job description
Job Description:
Industry: Healthcare / Health Services
Job Category: Sales / Marketing - Customer Service
HOURS : 11:00am-8:00pm M - F or 12:00pm-9:00pm M-F. Occasional weekends and overtime as needed.
The Referral Specialist I is 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 qualifications:
- 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, qualifications and knowledge:
- Knowledge of medical terminology preferred.
- Experience working as Pharmacy Tech highly preferred.
- Ability to type 45 WPM
Skills and Certifications:
must be able to type 45 wpm
preferred pharm tech
medical terminology preferred
Ideal Candidate
strong customer service, data entry, medical terminology and pharm tech exp.
Referral Specialist I receive prescriber's referral, go into que and work referral, search data base to see if they already in there, if not, create new profile. enter order, demographics, attaching supporting docs.
Job tags
Salary
