Job Posting for Referrals Associate at Community Health Net
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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