Referral Representative (temp)

Job description

Primary Accountability The Referral Representative is responsible for assisting with patient referrals. Description of Primary Responsibilities: - Responsible for assisting patients with the completion of referrals including multiple service lines. - Coordinates and communicates with various insurance carriers to obtain necessary pre-authorizations for patients to receive needed specialty services. - Appropriately verifies patient eligibility to determine the best options for specialty access. - Coordinates, communicates and schedules patient appointments with external and internal specialists and provides communication to the patients regarding the process and referral status. - Ensures proper use of CPT and current ICD-10 codes to meet the requirements of third party payers and specialty offices to ensure minimal delay in securing referral appointments or pre-authorizations. - Prepares comprehensive referral packet, including referral order, pre-authorization paperwork, patient demographics, eligibility verification, primary care provider notes, diagnostics and/or lab work pertinent to the specialty referral. - Submits required referral packet and documentation to the specialist...