Referral Specialist I

  • York, PA
  • WellSpan Medical Group
  • Referral Center
  • Full Time - Day
  • Clerical and Administrative
  • Req #: 70499
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Job Description:

Under the general supervision of the Supervisor-Contact Center, performs a variety of support functions for each assigned practice including, but not limited to, scheduling, insurance verification, obtaining authorizations and referrals and record management.

 

Duties and Responsibilities

Essential Accountabilities:

  1. Schedules patient appointments with specialty providers including correct processing of necessary referral forms and transfer of patient information.
  2. Ensures patient confidentiality.
  3. Manages the insurance referral process according to policy. Keeps staff current on changes.
  4. Reviews patient insurance to obtain authorizations for diagnostic testing, genetic labs, DME and medications.
  5. Provides insurance company with clinical information necessary to secure authorizations.
  6. Communicates with clinical team when authorization is unable to be obtained.
  7. Maintains referral record in electronic medical record.
 

Qualifications

  • Minimum Experience:
    • 1 – 2 years of medical insurance experience or experience obtaining authorizations and referrals from insurance companies; medical front office experience preferred
  • Minimum Education:
    • High School or G.E.D.
  • Required Courses:
    • Medical terminology within 6 months of hire
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