thevascularcaregroup
Referral Specialist
Hyannis, Massachusetts, United States
Sponsorship not specifiedDetected 7 days ago
ComplianceHIPAAEHR/EMRICD-10Patient CareCommunicationMicrosoft Office
About the role
- This role serves as the primary liaison between patients, referring providers, and insurance carriers to ensure that every patient arrives for their visit with the appropriate documentation in place.
Responsibilities
- Communicate directly with referring physician offices to request missing referrals and provide any clinical documentation needed to support the request
- Maintain up-to-date knowledge of referral and authorization requirements for Medicare, Medicaid, and commercial payers
Requirements
- Working knowledge of Medicare, Medicaid, and commercial insurance referral and authorization requirements
- Knowledge of multi-line phone systems
- Must be able to maintain a professional demeanor in a fast-paced environment
- Previous experience with Microsoft Office suite
- Knowledge of and compliance with HIPAA regulations
Nice to have
- Minimum of High School diploma, associate or bachelor's degree preferred
- vascular, cardiology, or surgical specialty experience preferred
Compensation
- Negotiable based on skills and experience.
Benefits
- Verify patient insurance eligibility and benefits to determine referral and authorization requirements specific to each payer
- Document all referral and authorization activity, including reference numbers, approval dates, valid date ranges, and approved visit counts, in the patient's electronic medical record
- Protect patient rights by maintaining medical, personal, and financial confidentiality
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