Referrals Associate

Community Health Net
Erie, PA Full Time
POSTED ON 6/6/2024

Summary

Executes patient insurance referrals, consultations, and diagnostic procedures relating to the healthcare facility.

Primary Duties and Responsibilities

  • Schedule consultation and diagnostic appointments, with hospitals and specialty offices for patients per provider request and documents necessary information.
  • Accurately and timely, completes requested forms for, Insurance, and specialty offices.
  • Obtain insurance authorization for appointments.
  • Contact patients to provide appointment date, time, location and preparation information for appointment, if appropriate.
  • Answer questions and conducts research to answer questions regarding patient referral appointments and testing.
  • Answer telephone, screens calls, takes messages, and provides information regarding patient referrals.
  • Work closely with other internal departments to assure all the necessary patient information is received to complete the patient referral.
  • Reschedule missed appointments, after the 30-day patient responsibility window has elapsed.
  • Assures referrals are properly tracked in the referral database. Track referrals to post, no show, cancelled and rescheduled appointments.
  • Review encounters for changed insurance information and changing demographics, as needed.
  • Other duties as assigned.

Skills/Qualifications

  • Proficient in word processing, data processing, data input, and searching for information on computer applications.
  • Strong organizational skills, prioritization skills and a systematic approach to work with a high level of accuracy and attention to detail.
  • Able to work independently and act on own initiative.
  • Ability to read, write and converse fluently in English. However, bi-lingual skills are a plus.
  • Understanding of medical terminology.

Education/Experience

High School Diploma or equivalent required. Medical Secretary Certification or equivalent experience preferred. Two (2) years related experience preferred.

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