Job Description
**Job Summary and Responsibilities**
As our Referral Specialist, you will orchestrate patient access to specialized care by expertly managing all referral and authorization processes.
Every day, you will proactively obtain clearances for specialty visits, issue referrals for ancillary services (consults, imaging, labs), and secure approvals for medications, DME, home health, and other vital services.
To be successful in this role, you will demonstrate meticulous attention to detail, strong organizational skills, and clear communication to ensure seamless and efficient service delivery for our patients.
+ Processes referral orders and/or pre-authorizations.
+ Ensures that insurance eligibility checks have been conducted on all referrals before the patient is seen, either by escalating to the Insurance Verifier, or by directly checking on eligibility.
+ Completes referrals and/or pre-authorization, before the patient is seen, for diagnostic testi...
As our Referral Specialist, you will orchestrate patient access to specialized care by expertly managing all referral and authorization processes.
Every day, you will proactively obtain clearances for specialty visits, issue referrals for ancillary services (consults, imaging, labs), and secure approvals for medications, DME, home health, and other vital services.
To be successful in this role, you will demonstrate meticulous attention to detail, strong organizational skills, and clear communication to ensure seamless and efficient service delivery for our patients.
+ Processes referral orders and/or pre-authorizations.
+ Ensures that insurance eligibility checks have been conducted on all referrals before the patient is seen, either by escalating to the Insurance Verifier, or by directly checking on eligibility.
+ Completes referrals and/or pre-authorization, before the patient is seen, for diagnostic testi...