Referral Specialist

Job description

Current Saint Francis Employees - Please click HERE to login and apply. Full Time: Previous medical billing, denial follow up and auth denial follow up experience strongly preferred Job Summary: The Referral Specialist will review, analyze and document all referral requests, obtain appropriate authorizations for all plans (managed care, Medicaid, Medicare) and coordinate the scheduling of the “referred to” specialty including communication with the Specialty Office and Patient. Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: None. Work Experience: 3 - 4 years related experience. Knowledge, Skills and Abilities: PC skills, customer service skills, organizational skills, communication skills. Essential Functions and Responsibilities: Daily queue accessed and analyzed to prioritize work to achieve optimal scheduling of patient for care. Includes research of referral to determine if all documentation is included necessary to process request and to assist in obtaining authorization if required for payment. Departmental protocols to be followed to ensure consistency in documentation in Epic as well as any communication to ensure completion. Wo...