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Patient Referral Specialist 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. Being a Patient Referral Specialist 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. Additionally, Patient Referral Specialist 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. The Patient Referral Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Patient Referral Specialist typically requires 1-3 years of related experience.
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The Patient Interpretation Services Specialist assesses and monitors patients' understanding of information conveyed. Conducts medical and general interpreting for staff, patients, and their families. Being a Patient Interpretation Services Specialist records and monitors interpretation activities according to hospital and department standards. Advises medical personnel about any cultural issues that might impact patient care. In addition, Patient Interpretation Services Specialist may be required to translate written documents. Requires familiarity with medical terminology. Requires fluency in one or more languages in addition to English. May require an associate's degree or its equivalent. Typically reports to a supervisor or manager. May require Translation certificate. Being a Patient Interpretation Services Specialist gains or has attained full proficiency in a specific area of discipline. Works under moderate supervision. Working as a Patient Interpretation Services Specialist typically requires 1-3 years of related experience.
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